TX HHS Form 1745. Service Delivery Log with Written Narrative/Written Summary

The Texas Health and Human Services (HHS) Form 1745, Service Delivery Log with Written Narrative/Written Summary, serves as a comprehensive tool for tracking and documenting services provided to individuals receiving Consumer Directed Services. This form enables service providers to record essential details about the services delivered, including the type of service, date, time, and hours worked.

The purpose of this form is to provide a clear and accurate account of services rendered, allowing employers and service providers to maintain compliance with Medicaid regulations. The form also includes space for written narratives or summaries, enabling service providers to provide additional context about the services delivered. By using Form 1745, employers can ensure timely submission of time sheets to the Financial Management Services Agency (FMSA) and avoid potential issues related to Medicaid fraud referrals.

This form is intended for use by service providers, employers, and designated representatives in Texas. As a critical tool for managing services and ensuring compliance with Medicaid regulations, Form 1745 plays a vital role in the delivery of Consumer Directed Services in Texas. By understanding the purpose, audience, and usage of this form, stakeholders can effectively utilize it to streamline their operations and maintain regulatory compliance.