TX HHS Form H2065-D. Notification of Managed Care Program Services

The TX HHS Form H2065-D, Notification of Managed Care Program Services, is a crucial document used to notify relevant parties about the provision of managed care program services. This form helps healthcare providers or organizations inform the necessary stakeholders about their involvement in managed care programs, ensuring that all parties are aware of the services being offered.

This notification form typically requires the following information: the county office name and address, city, state, and zip code, as well as phone numbers for both the Rains Lone StarLegalAid-TylerOffice and Real Texas RioGrande Legal Aid-San Antonio Office. The form also includes specific sections for each organization's contact information.

The TX HHS Form H2065-D is an essential tool for healthcare providers, managed care organizations, and other stakeholders involved in the provision of managed care program services. This form should be used whenever a new managed care program service is initiated or when changes occur to existing services. By completing this notification form, healthcare providers can ensure compliance with relevant regulations and maintain open communication channels with all parties involved.