TX HHS Form 1589. Consumer Directed Services Revision Worksheet

The TX HHS Form 1589, Consumer Directed Services Revision Worksheet, is a crucial document for tracking and managing consumer-directed services in Texas. Issued by the Texas Health and Human Services (HHS), this form serves as a tool for case managers and billing representatives to accurately record and certify hours and dollars utilized by community attendant services.

The form consists of four columns, each with specific instructions for completion. Column 1 requires the original ASP amount, while Columns 2 and 3 are used to track hours and dollars provided by the Financial Management Services Agency (FMSA). The total number of hours/dollars available is calculated in Column 4, representing the total services provided. This worksheet enables a seamless transfer of information between case managers and billing representatives, ensuring accurate billing and record-keeping.

This form is essential for ensuring compliance with consumer-directed service regulations in Texas. By using this worksheet, case managers and billing representatives can certify the accuracy of utilized hours/dollars, confirm knowledge of the information provided, and guarantee that all services have been billed and no hours/dollars will be reserved. The TX HHS Form 1589 is a vital tool for maintaining transparency and accountability in consumer-directed services.