Form 1740 September 2014-E Consumer Directed Services (CDS) Service Backup Plan Name of Individual Program Service* Employer Designated Representative (if applicable) Support Advisor (if applicable) * A service backup plan is required for each program service delivered through the CDS option that the case manager (CM) or service coordinator (SC) has determined to be critical to the health and welfare of the individual or that is required by program specifications. The service backup plan.
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How to fill out the TX Form 1740 online
Filling out the TX Form 1740 online is an important step in creating an effective service backup plan for individuals receiving consumer-directed services. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.
Follow the steps to successfully complete the TX Form 1740 online:
- Use the ‘Get Form’ button to obtain the TX Form 1740 and access it in the online editor.
- Begin by entering the name of the individual for whom the service backup plan is being created in the specified field.
- Select the program related to the individual's services, ensuring it aligns with the provided options.
- Indicate the specific service by filling in the service field accurately.
- If applicable, provide the name of the designated representative, who may assist in reviewing or approving the plan.
- Include the name of the support advisor, if one is assigned, in the designated section.
- Specify the type of service backup plan, selecting either 'Initial Backup Plan' or 'Revision to Backup Plan' as needed.
- Fill in the date of the service planning team meeting, which is crucial for tracking timelines.
- Enter the effective date of the service backup plan.
- List the reasons for requiring a service backup plan, detailing three specific factors as prompted.
- Outline backup plan strategies and sequences that will be implemented in case of absence of service delivery.
- Provide the names and contact details (area code and telephone number) for resource persons who can support the plan.
- Confirm plan approval by entering the approval date.
- Indicate whether an annual review is needed by selecting 'Yes' or 'No' and enter corresponding dates if applicable.
- Document the initials and date from the case manager or service coordinator to confirm that the backup plan was implemented.
- If the backup plan was deemed ineffective, provide the necessary dates for requested revisions and when the revisions were received.
- Once all information is completed, save your changes, and download, print, or share the form as necessary.
Start completing your TX Form 1740 online today!
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