TX HHS Form 3711. Request for Bed Changes and Bed Relocations

The TX HHS Form 3711, Request for Bed Changes and Bed Relocations, is a crucial document used to request changes or relocations of beds in long-term care facilities. This form helps solve the problem of adjusting bed configurations to meet changing facility needs or accommodate new residents.

To ensure a complete submission, all required information must be included with the request. Key features of this form include the need for signed and dated submissions, as well as the requirement for current and proposed floor plans and bed configurations. The form also specifies that incomplete requests will not be processed. Common scenarios of use may include changes in resident capacity or needs, facility renovations, or adjustments to Medicare/Medicaid funding.

The TX HHS Form 3711 should be submitted to the Texas Health and Human Services Commission, either by mail or email, along with any accompanying information. For related questions or concerns, contact Medicaid Bed Allocation at 512-438-2630 or via email at [email protected].