TX HHS Form 1734. Service Provider and Employer Certification of Relationship Status for CDS

TX HHS Form 1734. Service Provider and Employer Certification of Relationship Status for CDS

The TX HHS Form 1734, Service Provider and Employer Certification of Relationship Status for CDS, is a crucial document that helps establish the relationship status between service providers, employers, and individuals receiving Consumer Directed Services (CDS). This form is typically used in situations where there are complex relationships involved, such as when a service provider is also the spouse or legal representative of the person receiving services.

The form requires service providers to provide detailed information about their relationship status with the individual receiving CDS. Key features include questions that assess the applicant's age, legal representation, and spousal relationships. The form also inquires about the applicant's role as a designated representative (DR) or employer for the person receiving services. By completing this form, service providers can demonstrate their eligibility to provide CDS and ensure compliance with relevant regulations.

The TX HHS Form 1734 is an essential tool for ensuring that relationships between service providers, employers, and individuals receiving CDS are transparent and compliant with regulatory requirements. Key points to note include:

  • Service providers must answer questions about their relationship status with the individual receiving CDS.
  • The form requires applicants to provide information about their age, legal representation, and spousal relationships.
  • The form is used in situations where there are complex relationships involved, such as when a service provider is also the spouse or legal representative of the person receiving services.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1734-service-provider-employer-certification-relationship-status-cds