TX HHS Form 1747. Acknowledgement of Nursing Requirements

The Texas Health and Human Services (HHS) Form 1747, Acknowledgement of Nursing Requirements, is an annual form that must be completed by registered nurses (RNs) or licensed vocational nurses (LVNs) hired by Consumer Directed Services (CDS) employers. This form serves as a certification that the nurse has received information regarding the necessary documents to be obtained, completed, and maintained in the person's home.

This form is essential for ensuring compliance with Texas Occupations Code, Title 3, Subtitle , Chapter 301, Section 301.002, which defines professional nursing services provided by RNs and LVNs. The form also requires nurses to maintain specific documentation, including nursing assessments, plans of care, doctor's orders, and medication administration records. By completing this form annually, CDS employers can demonstrate their commitment to providing high-quality nursing services that meet the needs of Medicaid waiver program participants.

The completed Form 1747 must be sent to the Financial Management Services Agency (FMSA) annually before the nurse can deliver services. The CDS employer is also required to maintain a copy of the form in the person's home, ensuring that all necessary documentation is readily available for auditing and compliance purposes. By using this form, HHS ensures that nursing services are delivered in accordance with state and federal regulations, promoting the health and well-being of Medicaid waiver program participants.