The Texas 1745 form is a Service Delivery Log used for documenting hours worked in the Consumer Directed Services program. This form is essential for ensuring accurate reporting of services provided to individuals with disabilities. Timely submission of the form is critical to avoid delays in payment for services rendered.
To fill out the Texas 1745 form, click the button below.
When filling out the Texas 1745 form, it's essential to follow specific guidelines to ensure accuracy and compliance. Here’s a helpful list of dos and don’ts:
Alamo Consumer Direct
Consumer Directed Services
Texas Department of Aging
Phone: 512‐420‐0832, Toll Free: 1‐877‐903‐0832
Service Delivery Log with Written
and Disability Services
Toll Free Fax: 1‐877‐652‐0877
Narrative/Written Summary
Form 1745‐compliant
8701 Shoal Creek Blvd, Suite 303
Austin TX 78757‐6809
Employee Name
Consumer Name
Time sheet due date: If faxed or dropped off, time sheets are due at the Consumer Direct office by Monday (at midnight) following the week of service. If mailed, they must be postmarked by Monday following the week of service. Late time sheets will result in late pay.
Check Program: DBMD CBA CLASS HCS PCS PHC TXHML
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Service Date
(mm/dd/yy)
Service Code
Time In
Time Out
Daily Total
NOTE: Time sheets must be signed AFTER the work is completed. Advance time sheets will not be accepted. Total Weekly Hours
Place of Service
Written Narrative/Summary
Employee/Consumer: I certify that the work hours listed above are accurate, and that services were provided in accordance with the Employee Work Schedule and Assigned Tasks (DADS 1731). I understand that falsification of this time sheet is considered Medicaid Fraud and may result in dismissal from the program and criminal prosecution.
Employee Signature
Date
Consumer Signature
02052
REV. 06/27/2013
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When working with the Texas 1745 form, which is primarily used for documenting service delivery in consumer-directed services, several other forms and documents often accompany it. Each of these documents plays a crucial role in ensuring compliance, tracking services, and managing payments effectively. Below is a list of related forms that you may encounter.
Understanding these documents and their purposes can greatly enhance the efficiency of service delivery in consumer-directed services. By ensuring that all necessary forms are completed and submitted correctly, consumers and employees alike can focus on providing and receiving quality care.
Filling out the Texas 1745 form can be straightforward, but many people make common mistakes that can lead to delays or issues with payment. One frequent error is not signing the time sheet after the work is completed. It's essential to remember that signatures should only be added once services have been rendered. Advance signatures can result in the form being rejected, causing frustration and potential delays in payment.
Another mistake often seen is failing to accurately record the service dates. Each entry should reflect the correct date of service in the mm/dd/yy format. If the dates are incorrect, it can complicate the processing of the time sheet and lead to confusion regarding when services were actually provided.
Many individuals also overlook the importance of providing the correct service codes. Each service has a specific code that must be included on the form. Using an incorrect code can lead to payment issues, as it may not align with the services rendered.
In addition, some people forget to include the total weekly hours at the end of the form. This total is crucial for processing payments accurately. Without this information, the time sheet may be considered incomplete, resulting in further delays.
Another common pitfall is not adhering to the submission deadlines. If you are faxing or dropping off the time sheet, it must be submitted by midnight on the Monday following the week of service. If mailing, the form must be postmarked by that same Monday. Late submissions can lead to late payments, which can be frustrating.
Additionally, some individuals neglect to provide a detailed narrative or summary of the services provided. This section is important for clarity and helps ensure that all parties understand the services rendered. A lack of detail can lead to questions or disputes down the line.
People also sometimes forget to check the program box. The Texas 1745 form requires you to indicate which program you are participating in, such as DBMD or CLASS. Failing to do this can lead to processing errors.
It's also crucial to ensure that both the employee and consumer signatures are included on the form. Omitting one of these signatures can result in the form being deemed invalid. Each signature confirms that the information provided is accurate and complete.
Lastly, individuals may not keep copies of their submitted time sheets. It’s always a good idea to retain a copy for your records. This can be helpful if there are any questions or disputes regarding the submitted hours or services.
By being aware of these common mistakes and taking steps to avoid them, you can help ensure a smoother process when filling out the Texas 1745 form. Proper attention to detail can make a significant difference in receiving timely payments for services rendered.
Misconceptions about the Texas 1745 form can lead to confusion and potential issues with service delivery. Below are ten common misconceptions, along with clarifications for each.
Understanding these misconceptions can help ensure compliance with the Texas 1745 form requirements and promote smoother service delivery.
Here are some key takeaways about filling out and using the Texas 1745 form:
Completing the Texas 1745 form requires attention to detail and accuracy. This form is essential for documenting services provided under various programs. Follow the steps outlined below to ensure you fill it out correctly.