TX HHS Form 2406. Physician Recommendation for Length of Stay in a Nursing Facility

The TX HHS Form 2406, Physician Recommendation for Length of Stay in a Nursing Facility, is used to determine whether a medically dependent child can reside in a nursing facility for an extended period or requires a limited stay due to their medical condition. This form helps healthcare providers and the Texas Health and Human Services (HHS) Commission establish eligibility for the Medically Dependent Children Program's (MDCP) services.

This form is used when a patient, whose date of birth is [insert], requests access to MDCP services through the Money Follows the Person (MFP) option due to their medical condition. The form requires the physician to assess the patient's medical fragility and determine whether they meet specific criteria, including ventilator dependence, renal dialysis, or 24-hour oxygen dependence. The physician must also check boxes indicating which conditions apply and attach supporting documentation.

The form has two main sections: one for determining medical fragility and another for recommending the length of stay in a nursing facility. Healthcare providers should use this form to assess patients' medical needs and determine whether they require an extended or limited stay in a nursing facility. Form 2406, Physician Recommendation for Length of Stay in a Nursing Facility, is essential for ensuring that medically dependent children receive appropriate care and support.