TX HHS Form 1742. Service Backup Plan for HCS. TxHmL and CFC Services

The TX HHS Form 1742, Service Backup Plan for HCS, TxHmL, and CFC Services, helps ensure continuity of care by providing a plan for backup services in case of absence or unavailability. This form is typically used when an individual's waiver services (HCS) program or Community First Choice (CFC) service requires a backup plan to guarantee uninterrupted support.

The Service Backup Plan must be reviewed at least annually and includes essential information such as the name, phone number, and alternate contact of the resource person(s) who will provide backup services. The form also distinguishes between paid service providers and unpaid natural supports. This plan helps ensure that individuals receive necessary care and support in situations where primary services are unavailable.

To complete this form, you must provide required information about your backup plan, including the name, phone number, and alternate contact of each resource person. You should also indicate whether they are paid service providers or unpaid natural supports. By having a Service Backup Plan in place, you can rest assured that you have a contingency plan to ensure continuity of care when needed.

• This form is required for each waiver services (HCS) program or CFC service identified on the Person's Texas Home Living (TxHmL) worksheet.