TX HHS Form 1743. Transfer Information TxHLP

The TX HHS Form 1743, Transfer Information TxHLP, is a crucial document used by the Texas Health and Human Services (HHS) to facilitate the transfer of Consumer Directed Services information between agencies. This form serves as a vital tool for ensuring seamless continuity of care and services for individuals receiving support through the Texas Home Living Program.

The form requires essential information from both the transferring consumer and their representative, including the CDSA legal entity name, telephone number, contract number, and county code/name. Additionally, it captures details about the services being transferred, such as respite (hourly) and respite (daily), along with the number of service units to be transferred. This comprehensive information enables a smooth transition and ensures that all necessary parties are informed.

This form is designed for use by the Texas Home Living Program's Consumer Directed Services Agency (CDSA) and its representatives, as well as employers or guardians involved in the transfer process. By completing this form, individuals can ensure that their services are transferred efficiently and effectively, allowing them to continue receiving the support they need. The TX HHS Form 1743 is an essential tool for promoting continuity of care and minimizing disruptions in service delivery.