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Revision 26-1; Effective Feb. 20, 2026
The managed care organization (MCO) must identify all authorized services on the individual service plan (ISP). The ISP consists of the following documents:
- Form H1700-1, Individual Service Plan;
- Form H1700-2, Individual Service Plan – Addendum;
- Form H1700-3, Individual Service Plan – Signature Page;
- Form H1700-A1, Certification of Completion/Delivery of STAR+PLUS HCBS Program Items/Services;
- Form H2060, Needs Assessment Questionnaire and Task/Hour Guide;
- Form H2060-A, Addendum to Form H2060;
- Form H2060-B, Needs Assessment Addendum;
- Form H6516, Community First Choice Assessment; or
- other forms and assessments related to the services provided.
The MCO must upload Form H1700-1 to the MCOHub if the MCO manually completes it. The MCO is not required to upload Form H1700-1 to the MCOHub if the MCO electronically generates this form through the Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care Online Portal (LTCOP). The MCO maintains all other forms in the member case file.