Home and Communitybased Services, Texas Home Living, Community First Choice - hhs state tx 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the individual's name in the designated fields for 'Individual Name (First, Last)'. This ensures that the services are accurately attributed.
3. Fill in the 'Date of Service' using the mm/dd/yy format. This is crucial for record-keeping and service verification.
4. Input the 'Local Case No./CARE ID' to link this form to the appropriate case file.
5. Record the start and end times for each service provided. Use the time fields provided, ensuring you select a.m. or p.m. as applicable.
6. In the 'Total Time' section, calculate and enter the total hours worked based on your recorded times.
7. Complete the 'Staff ID No.' and provide your signature in the designated area to certify that services were delivered as recorded.
8. Document any incidents or special events in the comments section to provide context for services rendered.
9. Select codes for all activities performed from both 'Activities of Daily Living' and 'Non Face-to-Face Activities', ensuring accurate billing.

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