TX HHS Form 3596. PAS/Habilitation Plan – CLASS/DBMD/CFC

TX HHS Form 3596, PAS/Habilitation Plan – CLASS/DBMD/CFC, is a crucial document for individuals requiring personal assistance services (PAS) or habilitation services. This form helps facilitate the planning process for these essential services, ensuring that individuals receive the necessary support to maintain their independence and quality of life.

The form requires information on the individual's habilitation needs, including hygiene and toileting needs. It also asks about direct services agencies (DSAs) and consumer-directed services (CDS). The form is used for enrollment, renewal, or revision purposes, with a Revision No. J DBM0 Provider indicated. Key features include the identification of specific habilitation needs, such as personal care and mobility assistance.

This form should be completed when an individual requires PAS or habilitation services, including those with Deaf Blind with Multiple Disabilities (DBMD) or Community First Choice (CFC) needs. The form is essential for ensuring that individuals receive the necessary support to maintain their independence and quality of life. TX HHS Form 3596, PAS/Habilitation Plan – CLASS/DBMD/CFC, is a vital tool for facilitating the planning process and providing essential services.