TX HHS Form 4002. Management of Personal Funds and Payment for Support. Maintenance and Treatment

TX HHS Form 4002: Management of Personal Funds and Payment for Support, Maintenance and Treatment is a crucial document that helps facilities manage the personal funds of individuals in their care. This form is essential when an individual's personal funds need to be managed, whether by themselves or through a legally authorized representative (LAR).

The form allows the facility to decide how the person's personal funds will be managed, taking into account the person's abilities and preferences. Key features of this form include the designation of a facility to manage the person's personal funds, which involves depositing all personal funds received by the facility into an account for the individual. The facility must also maintain detailed accounting records and provide the individual or LAR with a copy within 72 hours of request.

This form is typically used when an individual requires support, maintenance, and treatment at a facility, and their personal funds need to be managed accordingly. It's essential to complete this form accurately, as it outlines important details such as payment for services, including the support, maintenance, and treatment (SMT) charges. The form also covers scenarios where the person's personal funds are not managed by the facility, in which case the designated individual or LAR is responsible for payment of these charges.