TX HHS Form 1747. Acknowledgement of Nursing Requirements

The TX HHS Form 1747, Acknowledgement of Nursing Requirements, is an essential document for healthcare professionals in Texas. This form helps ensure that nurses hired by Consumer Directed Services (CDS) employers meet the necessary requirements to provide nursing services.

As a requirement under the Medicaid Waiver Program, registered nurses (RNs) and licensed vocational nurses (LVNs) must complete this form annually before providing services. The form outlines the responsibilities of the nurse, including maintaining specific documentation in the person's home, such as nursing assessments, plans of care, and medication administration records.

The completed Form 1747 must be sent to the Financial Management Services Agency (FMSA) annually by the CDS employer before the nurse can deliver services. The form also emphasizes the importance of following Texas Board of Nursing rules and regulations, as well as federal, state, or local laws affecting the nurse's current area of practice.

• Required for RNs and LVNs hired by CDS employers to provide nursing services
• Must be completed annually before providing services
• Outlines responsibilities of the nurse, including documentation requirements
• Must be sent to FMSA annually by the CDS employer