TX HHS Form 1290. Long Term Care Claim

The Texas Health and Human Services (HHS) Form 1290, Long Term Care Claim, is a crucial document for healthcare providers to claim reimbursement for services provided to patients. This form serves as a comprehensive tool for healthcare professionals to accurately report the services rendered, including nurse aide training and line item information.

The purpose of this form is to provide a standardized format for healthcare providers to submit claims for long-term care services. The form consists of two main sections: Section A, which captures header information, and Section C, which details line item information. Healthcare providers must ensure that the information provided is true, accurate, and complete to the best of their knowledge, as claiming for services not actually provided constitutes fraud.

This form is essential for healthcare providers in Texas to receive reimbursement for long-term care services. By completing Form 1290, healthcare providers can efficiently submit claims and receive timely payment for the services they provide. As a result, this form plays a vital role in ensuring that healthcare providers are fairly compensated for their services, ultimately benefiting patients and the healthcare system as a whole.