TX HHS Form 3712. Temporary Medicaid Spend-Down Bed Request

The TX HHS Form 3712, Temporary Medicaid Spend-Down Bed Request, is a crucial document for healthcare facilities seeking to allocate temporary beds for residents who are not yet eligible for permanent Medicaid coverage. This form helps solve the problem of managing spend-down beds, which are essential for providing care to individuals who require temporary assistance.

The form requires facilities to track residents in spend-down beds and report any changes, including transfers, discharges, or availability of permanent Medicaid beds. Facilities must also ensure that a resident in a spend-down bed is moved to a permanent Medicaid bed if one becomes available. Additionally, the form emphasizes the importance of not admitting new residents to permanent Medicaid beds while there are still residents occupying spend-down beds.

To request a temporary spend-down bed, facilities must complete this form and provide required information, including the facility name, ID number, and contact details for the Medicaid Eligibility Worker. The completed form should be emailed to [email protected].

• Requesting facilities must track residents in spend-down beds and report changes.
• A resident in a spend-down bed must be moved to a permanent Medicaid bed if one becomes available.
• New residents cannot be admitted to permanent Medicaid beds while there are still residents occupying spend-down beds.