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

The Individual Plan of Care (IPC) Form 3608 is a crucial document for individuals receiving Home and Community-based Services (HCS) and Community First Choice (CFC) services in Texas. This form helps facilitate person-centered planning by outlining the individual's care goals, needs, and services. It is typically completed by the service coordinator or provider, with input from the individual and their caregivers.

The IPC Form 3608 requires specific information, including the individual's name, Medicaid number, date of birth, level of need, program provider, and financial management services agency (FMSA) vendor and contract numbers. The form also includes a section for the individual to check the reason for completing the form, which may be due to initial enrollment, renewal, transfer, or revision. Additionally, the form requires the person's residential type, location code, and county of service.

The IPC Form 3608 is used in various situations, including initial enrollment, renewal, transfer, or revision of HCS or CFC services. It is essential for ensuring that individuals receive the necessary care and support to achieve their goals. Key features of this form include the requirement for an IPC meeting when revising the plan due to an emergency, increase or decrease in a service, or change in requisition fee. The form also highlights the importance of person-directed planning and collaboration among service providers.

• The Individual Plan of Care (IPC) Form 3608 is used for initial enrollment, renewal, transfer, or revision of HCS or CFC services.
• The form requires specific information about the individual's care goals, needs, and services.
• It is essential to complete the IPC Form 3608 in collaboration with the individual and their caregivers.