TX HHS Form 3608. Individual Plan of Care (IPC) HCS and CFC

The TX HHS Form 3608, Individual Plan of Care (IPC) for Home and Community-based Services (HCS) and Community First Choice (CFC), is a crucial document that helps individuals develop a personalized plan to receive necessary care and support. This form should be used when an individual requires HCS or CFC services, such as home health care, adult day care, or residential support services.

The form requires essential information, including the person's name, Medicaid number, date of birth, level of need, program provider, and financial management services agency. It also includes sections for the individual's street address, city, state, and ZIP code, as well as the start and end dates of the IPC.

The form is designed to accommodate various scenarios, such as initial enrollment, renewal, transfer, or revision due to changes in a person-directed plan (PDP). It also includes conditions for emergency revisions and notifications. The TX HHS Form 3608 is an essential tool for individuals receiving HCS or CFC services to ensure they receive the necessary support and care.