TX HHS Form 8003. Documentation of Transportation as Part of HCBS-AMH Service

The TX HHS Form 8003, Documentation of Transportation as Part of HCBS-AMH Service, is a crucial tool for documenting transportation services provided to individuals under the Home and Community Based Services Adult Mental Health (HCBS-AMH) Program. This form helps service providers accurately record and report on transportation services, ensuring compliance with program requirements.

The form requires documentation of key information, including the name of the individual receiving services, the type of HCBS-AMH service being provided, and details about the transportation itself, such as the departure and arrival times, destination, and number of passengers. The formula for calculating service time is also clearly outlined: total transportation segment time multiplied by the number of service providers divided by the number of passengers equals the service time.

This form should be used whenever a HCBS-AMH service provider needs to document transportation services provided to an individual under the program. By accurately completing this form, service providers can ensure that they are meeting program requirements and maintaining accurate records for billing and reporting purposes.