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 used to assess the effectiveness of services provided to individuals with disabilities. This form helps solve the problem of ensuring that authorized services are being delivered in accordance with an individual's IPP and meeting their needs.

This form requires important information such as the name of the individual, Medicaid number, next review date, DBMD program provider, and financial management services agency (FMSA) vendor number. It also includes sections for reviewing dental services, including sedation, and occupational therapy. The form asks questions about whether each service is authorized on the IPP, if it was delivered in accordance with the plan, and if it is meeting the individual's needs.

The TX HHS Form 6517 should be used during follow-up reviews to document progress on each service, goal, or outcome as indicated on the IPP. This form is an essential tool for ensuring that services are being provided effectively and efficiently, and that individuals with disabilities receive the support they need to achieve their goals.