TX HHS Form 1580. Texas Money Follows the Person Demonstration (MFPD) Project Informed Consent for Participation

The Texas Money Follows the Person Demonstration (MFPD) Project Informed Consent for Participation Form 1580 is a crucial document that helps eligible Texans move from institutions back into their communities. This form is used to obtain informed consent from individuals who wish to participate in the MFPD project, which aims to provide Medicaid home and community-based waiver services.

The form requires applicants to acknowledge their understanding of the project's purpose and procedures. Key features include the applicant's agreement to participate in the project, as well as the signature of a parent or legally authorized representative (LAR) for individuals under 18 years old. The form also includes space for the Local Intellectual and Developmental Disability Authority (LIDDA) or Managed Care Organization (MCO) Service Coordinator to verify that the individual has resided in an institutional setting for at least 60 continuous days prior to enrolling in STAR+PLUS Home and Community-Based Services (HCBS) or Home and Community-based Services (HCS).

By using this form, individuals can ensure their informed consent is documented and understood. The form also outlines the responsibilities of the LIDDA/MCO Service Coordinator, including sending a signed copy to [email protected] and keeping a copy for the individual's file. Key points to note include:

• The project aims to provide Medicaid home and community-based waiver services.
• Participation is voluntary, and individuals can still receive waiver services if they do not join the project.
• The form requires applicant acknowledgement of understanding and agreement to participate in the project.