TX HHS Form 1736. Documentation of Employer Orientation by Financial Management Services Agency

The TX HHS Form 1736 is a documentation of employer orientation by the Financial Management Services Agency (FMSA), a crucial step in the Consumer Directed Services (CDS) Option. The form serves as proof that employers have received essential information about CDS services, their responsibilities, and the requirements for using these services.

This mandatory orientation is conducted by FMSA representatives and must be completed before a person or member can begin utilizing CDS services. The employer's contact information, including phone number and fax number, is also required. The form outlines the minimum attendance requirements, which include the employer, FMSA representative, and designated representative (if appointed), as well as the topics that must be covered during the orientation.

The TX HHS Form 1736 is issued by the Texas Health and Human Services (HHS) agency and is used to certify that employers have received the necessary training and information about CDS services. The form requires the employer's printed name, signature, and date, as well as the FMSA representative's printed name, signature, and date. This documentation serves as a vital record for both employers and FMSA, ensuring compliance with Texas Administrative Code regulations.