TX HHS Form 6517. Individual Program Plan (IPP) Service Review

The TX HHS Form 6517, Individual Program Plan (IPP) Service Review, is a crucial document that helps healthcare providers evaluate the effectiveness of services delivered to individuals with disabilities. This form is typically used in situations where an individual's needs are being assessed and services are being reviewed for authorization or continuation.

The form requires essential information such as the individual's name, Medicaid number, and DBMD program provider details. It also includes sections for reviewing dental services, including sedation therapy, and occupational therapy. The form asks questions about whether each service is authorized on the Individualized Program Plan (IPP), if it was delivered in accordance with the IPP, and if it meets the individual's needs. Additionally, the form provides space to document progress on each service, goal, or outcome as indicated on the IPP.

Key features of this form include the required information about authorized services, conditions for delivery, and responsibilities for providers. The follow-up actions section allows reviewers to track progress and make necessary adjustments. This form is an essential tool for healthcare professionals working with individuals with disabilities, ensuring that services are delivered effectively and efficiently.

• The TX HHS Form 6517 is used to review and evaluate the effectiveness of services delivered to individuals with disabilities.
• The form requires information about authorized services, conditions for delivery, and responsibilities for providers.
• The follow-up actions section allows reviewers to track progress and make necessary adjustments.