TX HHS Form H1700-2. Individual Service Plan Addendum

The Individual Service Plan Addendum (Form H1700-2) is a crucial document for individuals receiving services under the STAR+PLUS Home and Community-Based Services (HCBS) program in Texas. This form helps to identify necessary services and benefits for applicants or members, ensuring that their unique needs are met.

This addendum provides a detailed description of the medical information required for the applicant or member, including the reason why a particular service is necessary and how it will benefit them. The form also includes sections for payors, such as Medicare and Medicaid, as well as services provided in an educational setting. By completing this form, healthcare providers can ensure that they are delivering the most effective care possible.

The Individual Service Plan Addendum (Form H1700-2) is typically used by healthcare professionals to document the necessary information for STAR+PLUS HCBS program participants. Key features of this form include:

• Required medical information for applicants or members
• Description of why a particular service is necessary and how it benefits the individual
• Payor information, including Medicare and Medicaid
• Services provided in an educational setting (if applicable)