TX HHS Form 8495. Exclusion of Host Home/Companion Care (HH/CC) Provider from the Board of Nursing (BON) Definition of Unlicensed Person

The TX HHS Form 8495, "Exclusion of Host Home/Companion Care (HH/CC) Provider from the Board of Nursing (BON) Definition of Unlicensed Person," is a crucial document for healthcare professionals. This form helps solve the problem of excluding a HH/CC provider from the BON definition of unlicensed person, ensuring that individuals receive necessary care and support.

This form requires the individual name of the HH/CC provider to assert that they have met specific criteria, including being a Client Responsible Adult (CRA) as defined in Texas Administrative Code, maintaining a stable and beneficial relationship with the individual, assuming responsibility for their healthcare, and having adequate supports available. The form also includes space for the signature of a registered nurse and printed name and credentials.

The form must be updated annually by the RN, making it an essential tool for ongoing care management. This document is particularly useful in scenarios where a HH/CC provider requires exclusion from the BON definition of unlicensed person, such as when they meet the specified criteria outlined on the form. TX HHS Form 8495: Exclusion of Host Home/Companion Care (HH/CC) Provider from the Board of Nursing (BON) Definition of Unlicensed Person is a vital tool for healthcare professionals working with HH/CC providers in Texas.