TX HHS Form 1596. Consumer Directed Services Agreement for Community Attendant Services Annual Reauthorization

The TX HHS Form 1596, Consumer Directed Services Agreement for Community Attendant Services Annual Reauthorization, is a crucial document that helps resolve issues related to community care services. This form is used in situations where the provider supervisor disagrees with the service plan tasks or hours indicated on the HHSC authorization form.

The form requires the employer of record (provider supervisor) to review and sign the agreement statement, indicating whether they agree or disagree with the proposed service plan. If they disagree, they must provide specific reasons for their disagreement. The form also includes a section for contact information, allowing case managers and regional nurses to discuss any discrepancies.

To facilitate the reauthorization process, the employer of record is responsible for reviewing the proposed service plan on Form 2101 and signing the agreement statement within 14 days of receipt. This ensures that any issues are addressed promptly, and services can be continued or modified as needed. Key points to note include:

• The form is used for annual reauthorization of community attendant services.
• The provider supervisor must review and sign the agreement statement.
• If disagreement exists, specific reasons must be provided.
• Contact information is required for discussion purposes.