PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form 6500
for the current year.
Form 6500 Individual Plan of Care (Ipc) - Deaf Blind With Multiple Disabilities (Dbmd / Community First Choice (Cfc) - Texas
What Is Form 6500?
This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 6500?
A: Form 6500 is the Individual Plan of Care (IPC) used in Texas for individuals with Deaf-Blind with Multiple Disabilities (DBMD) and Community First Choice (CFC) programs.
Q: Who is Form 6500 for?
A: Form 6500 is for individuals in Texas who are eligible for the Deaf-Blind with Multiple Disabilities (DBMD) and Community First Choice (CFC) programs.
Q: What is the purpose of Form 6500?
A: The purpose of Form 6500 is to create an individualized plan of care for individuals with Deaf-Blind with Multiple Disabilities (DBMD) and Community First Choice (CFC) programs in Texas.
Q: What does DBMD stand for?
A: DBMD stands for Deaf-Blind with Multiple Disabilities.
Q: What does CFC stand for?
A: CFC stands for Community First Choice.
Q: What information is included in Form 6500?
A: Form 6500 includes information about the individual's needs, preferences, goals, and services required to meet their needs.
Q: Who completes Form 6500?
A: Form 6500 is completed by a case manager or service provider in collaboration with the individual and their family members or representatives.
Q: Is Form 6500 only used in Texas?
A: Yes, Form 6500 is specific to Texas and is used for the DBMD and CFC programs in the state.
Q: Can individuals make changes to their Plan of Care?
A: Yes, individuals can request changes to their Plan of Care through communication with their case manager or service provider.
Form Details:
- Released on March 1, 2022;
- The latest edition provided by the Texas Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 6500 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 6500 Individual Plan of Care (Ipc) - Deaf Blind With Multiple Disabilities (Dbmd / Community First Choice (Cfc) - Texas
1
2
