TX HHS Form 8490. Medical Increase Worksheet

The TX HHS Form 8490, Medical Increase Worksheet, is a tool used to document ongoing medical conditions that require face-to-face nursing services for 181 minutes or more per week. This form helps healthcare professionals determine the necessary level of care and support for individuals with complex medical needs.

This worksheet requires the completion of several key sections, including the individual's name and CARE ID, as well as information about their ongoing medical conditions and treatments. The form also asks for a list of face-to-face nursing tasks performed by a nurse, along with the total minutes per week spent on these tasks. Additionally, the form allows for the documentation of extenuating factors that necessitate the increased level of care.

The TX HHS Form 8490 is an essential tool for healthcare professionals working in Home and Community-based Services (HCS) settings to accurately assess and document the medical needs of individuals requiring complex care. This form should be used when there is a need to increase the level of face-to-face nursing services due to ongoing medical conditions or treatments that require more than 181 minutes of care per week.