TX HHS Form 1573. Residential Review Evidence of Correction
The TX HHS Form 1573, Residential Review Evidence of Correction, is a crucial document that helps resolve issues identified during residential reviews.
TX HHS Form 1572. Nursing Tasks Screening Tool
The TX HHS Form 1572, Nursing Tasks Screening Tool, helps healthcare professionals identify the level of care required for individuals with complex medical needs.
TX HHS Form 1571. Request for Partial Reimbursement for the Cost Installation of a Fire Sprinkler System in a Four-Person Residence
The TX HHS Form 1571 is a request for partial reimbursement for the cost of installing a fire sprinkler system in a four-person residence. This form helps solve the problem of covering the expenses associated with installing a life-saving system that meets state regulations.
TX HHS Form 1570. ICF Request for Medical Need Assessment or Verification of RUG-III Category
The TX HHS Form 1570, ICF Request for Medical Need Assessment or Verification of RUG-III Category, is a crucial document that helps identify the medical needs of individuals with intellectual and developmental disabilities.
TX HHS Form 1505. Request for Due-Process Hearing and/or Mediation
The TX HHS Form 1505, Request for Due-Process Hearing and/or Mediation, is a crucial document that helps individuals contest determinations or decisions made by Texas Health and Human Services (HHS) staff.
TX HHS Form 1487. Designation of Representative
The TX HHS Form 1487, Designation of Representative, is a crucial document that helps individuals designate a representative to act on their behalf for rehabilitation services.
TX HHS Form 1402. Value-Based Agreement Concept
The TX HHS Form 1402, Value-Based Agreement Concept, is a crucial document for vendors seeking to propose new or existing drug/products for consideration by the Texas Health and Human Services Commission (HHSC).
TX HHS Form 1357. Increlex Prior Authorization Request
The TX HHS Form 1357, Increlex Prior Authorization Request, is a crucial document for healthcare providers to obtain approval for treatment with Increlex.
TX HHS Form 1356. Texas Medicaid Xyrem Prior Authorization Request
The Texas Medicaid Xyrem Prior Authorization Request Form (Form 1356) is a crucial document for healthcare providers to obtain approval for prescription medication benefits.
TX HHS Form 1355. PCSK9 Inhibitors Standard PA Addendum (Medicaid Fee-for-Service)
The PCSK9 Inhibitors Standard PA Addendum (Medicaid Fee-for-Service) is a form designed to facilitate prior authorization for patients enrolled in Medicaid fee-for-service.