TX HHS Form 8729. ICF/IID ACD Delivery and Completion of Purchase Confirmation

The TX HHS Form 8729, ICF/IID ACD Delivery and Completion of Purchase Confirmation, is a crucial document that helps solve the problem of ensuring the delivery and completion of augmentative communication devices (ACDs) for individuals with intellectual or developmental disabilities. This form is typically used in situations where an individual requires an ACD system to facilitate effective communication.

The form requires specific information from both the resident and the ICF/IID provider, including a description of the ACD system delivered, invoice cost of items, and resident satisfaction ratings. The resident must indicate their level of satisfaction with the ACD system, providing explanations for any dissatisfaction and recommending solutions for resolution. Additionally, the ICF/IID provider must determine whether the item meets the documented needs of the resident based on recommendations from a speech therapist.

The form also includes sections for the resident's signature and that of the ICF/IID provider representative. Key features include required information such as the resident's address, description of the ACD system, and invoice cost, as well as conditions for satisfaction and responsibilities for both parties involved. By using this form, healthcare providers can ensure a smooth delivery process and provide necessary support to individuals with intellectual or developmental disabilities.

• This form is used in situations where an individual requires an augmentative communication device (ACD) system to facilitate effective communication.
• The form requires specific information from both the resident and the ICF/IID provider, including a description of the ACD system delivered and invoice cost of items.