TX HHS Form 6501. Individual Program Plan

The TX HHS Form 6501, Individual Program Plan, is a crucial document that helps solve the problem of creating personalized care plans for individuals with Deaf Blindness and Multiple Disabilities (DBMD) under the DBMD Waiver. This form is typically used by program providers to develop individualized plans that cater to the unique needs and goals of each participant.

The Form 6501 requires essential information, including the individual's name, date of birth, social security number, Medicaid and Medicare numbers (if applicable), employment status, education level, and a one-page profile outlining their personal characteristics, preferences, and support needs. The form also includes space for the Service Planning Team (SPT) members to document their meeting and the Individual Plan of Care (IPC) effective period.

This form is essential in situations where individuals with DBMD require tailored care plans that address their unique needs and goals. By completing this form, program providers can ensure that participants receive the necessary support and services to improve their quality of life. Key points to note include:

• The Form 6501 is used by program providers to develop individualized plans for individuals with DBMD under the DBMD Waiver.
• The form requires essential information, including personal characteristics, preferences, and support needs.
• The Service Planning Team (SPT) members document their meeting and the Individual Plan of Care (IPC) effective period on this form.