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 to request temporary Medicaid spend-down beds. This form helps solve the problem of accommodating residents who require Medicaid coverage but do not yet meet the eligibility criteria.

This form requires key information such as facility details, resident data, and contact information. Specifically, Item 1 asks facilities to identify residents currently occupying spend-down beds and report changes in writing immediately. Item 2 requests a new spend-down bed allocation, while Item 3 lists the current number of residents in Medicaid/Medicare certified beds.

The form also emphasizes important conditions for spend-down bed allocation, including the requirement to move a resident from a spend-down bed to a permanent Medicaid bed if one becomes available. Additionally, facilities must not admit new residents to permanent Medicaid beds while they have residents in spend-down beds. The completed form should be emailed to [email protected].