TX HHS Form 8647. Service Coordination Assessment Intellectual Disability Services

The Service Coordination Assessment Form 8647, issued by the Texas Health and Human Services (HHS) for Intellectual Disability Services, helps solve the problem of determining an individual's level of involvement in service coordination. This form is used to assess the needs of individuals with intellectual or developmental disabilities who require assistance in understanding and exercising their rights.

The form requires information about the person's physical health, including any specific medical or physical needs or conditions that may impact their daily activities. It also asks if the individual has chronic medical conditions that affect their daily life. The assessment rates the level of involvement needed for physical health, ranging from 0 (no involvement) to 3 (high involvement), indicating the need for service coordination intervention.

This form is typically filled out by the Local Intellectual and Developmental Disability Authority (LIDDA) or other authorized representatives. Key features include rating scales for rights and legal status, physical health, and follow-up actions based on the assessment results. The form helps identify situations where individuals require assistance in understanding their rights, accessing healthcare services, or managing chronic medical conditions.

• The Service Coordination Assessment Form 8647 is used to determine an individual's level of involvement in service coordination for intellectual disability services.
• The form requires information about the person's physical health and assesses their needs for assistance in understanding and exercising their rights.
• The assessment results indicate the need for service coordination intervention, ranging from minimal to high involvement.