TX HHS Form 1057. Habilitation Service Plan HSP

The TX HHS Form 1057, Habilitation Service Plan (HSP), helps solve the problem of creating a personalized plan for individuals with intellectual and developmental disabilities. This form is used by Local Intellectual and Developmental Disabilities Authorities (LIDDA) to coordinate habilitation services while an individual resides in a nursing facility.

The HSP requires specific information, including the individual's name, CARE ID, Medicaid number, and dates of plan creation and revision. The discovery process involves listing participants and describing how information was gathered. Changes made to the HSP must be documented, along with a description of the change. The form also outlines habilitation coordination plans, including face-to-face meetings with the individual at least monthly or quarterly.

The key features of this form include the requirement for regular monitoring of specialized services and facilitation of coordination between the HSP and the nursing facility's Comprehensive Care Plan. By using this form, LIDDA can ensure that individuals receive the necessary habilitation services to achieve their goals and outcomes. Key points to note:

• The HSP is used by Local Intellectual and Developmental Disabilities Authorities (LIDDA) for individuals with intellectual and developmental disabilities.
• The form requires specific information, including individual details and dates of plan creation and revision.
• The discovery process involves listing participants and describing how information was gathered.