TX HHS Form H1700-1. STAR PLUS HCBS Program Individual Service Plan

The STAR+PLUS HCBS Program Individual Service Plan Form H1700-1 is a crucial document for individuals entering the Texas Health and Human Services (HHS) program. This form helps solve the problem of creating a personalized plan for each participant's healthcare needs, outlining their goals, services, and budget.

This form is typically filled out by the Service Coordinator or other authorized personnel in collaboration with the individual receiving services. The form requires information such as the individual's name, date of entry into the program, and service categories, including vendor ID numbers, annual service units, unit rates, and estimated annual costs. Additionally, the form includes spaces for recording changes to the plan, reassessments, and quarterly individualized transition (QIT) reports.

The STAR+PLUS HCBS Program Individual Service Plan Form H1700-1 is an essential tool for ensuring that each participant's unique needs are addressed and that their healthcare goals are met. Key features of this form include:

• Required information for individual service plans
• Spaces for recording changes, reassessments, and QIT reports
• A format for outlining service categories and vendor information