TX HHS Form 1589. Consumer Directed Services Revision Worksheet

The TX HHS Form 1589, Consumer Directed Services Revision Worksheet, is a practical tool designed to help manage and track consumer-directed services in Texas. This form is typically used by Financial Management Services Agencies (FMSAs) to document hours and dollars utilized for community attendant services provided to individuals enrolled in the program.

The form requires FMSAs to enter specific information, including original ASP amounts, used hours and dollars, and reserved hours and dollars. The worksheet also includes certification statements from both the FMSA billing representative and case manager, ensuring accuracy and accountability. Key features of this form include the calculation of total available hours and dollars (Column 4), which represents the total number of hours/dollars available for the FMSA.

This form is essential for FMSAs to accurately track and manage consumer-directed services, ensuring that individuals receive the necessary support and care. By using this form, FMSAs can ensure compliance with program requirements and maintain accurate records for billing and reporting purposes. Key points to note:

• The form is used by Financial Management Services Agencies (FMSAs) to document community attendant services.
• The form requires certification statements from both the FMSA billing representative and case manager.
• The form helps track and manage consumer-directed services, ensuring compliance with program requirements.