TX HHS Form 1735. Employer and Financial Management Services Agency Service Agreement

The TX HHS Form 1735, Employer and Financial Management Services Agency Service Agreement, is a crucial document for individuals receiving community-based services in Texas. The form outlines the terms of service between the person receiving services (the Person) and the Financial Management Services Agency (FMSA), which provides financial management services on behalf of the Texas Health and Human Services Commission (HHSC).

The purpose of this agreement is to ensure that the Employer, who may be the Person themselves or a designated representative (DR), meets specific requirements for managing the Person's community-based services program. These requirements include preparing a budget with FMSA approval, following each service budget, and allowing FMSA to handle payroll and filing taxes on behalf of the Employer.

This agreement is issued by the Texas Health and Human Services Commission (HHSC) as part of its efforts to provide consumer-directed services to individuals in need. By using this form, Employers can ensure compliance with relevant laws and regulations, including those related to Medicaid, employment, and workplace safety. The FMSA plays a critical role in providing financial management services and ensuring that the Person's program is administered effectively.