TX HHS Form 5518-NFA. Provisional Licensure Questionnaire
The TX HHS Form 5518-NFA, Provisional Licensure Questionnaire, is a crucial document for individuals seeking provisional licensure as a Nursing Facility Administrator (NFA) in the state of Texas.
TX HHS Form 5521-NFA. Complaints
The TX HHS Form 5521-NFA, Complaints, helps resolve issues related to nursing facilities in Texas. This form is used when a complaint arises regarding the administration of a nursing facility. The person reporting the issue (Complainant) typically completes this form.
TX HHS Form 5523. Medication Aide Experience Documentation Report
Form 5523 (June 2024) is used by the Medication Aide Program to verify an applicant’s employment history and hands-on experience in qualifying health care settings.
TX HHS Form 5525-NATCEP. Request to Take the Competency Evaluation Program (CEP) Based on Completion of Approved Nurse Aide Training Program that is Currently Closed
The TX HHS Form 5525-NATCEP is a request form for individuals who have completed an approved Nurse Aide Training Program that is currently closed.
TX HHS Form 5534. Medication Aide General Statement Enrollment
The TX HHS Form 5534, Medication Aide General Statement Enrollment, is a crucial document for individuals seeking to enroll in the Texas Medication Aide Program. This form helps solve the problem of ensuring applicants provide accurate and complete information necessary for program approval.
TX HHS Form 5535. Reciprocity Licensure Questionnaire
The TX HHS Form 5535, Reciprocity Licensure Questionnaire, is a crucial document for nursing facility administrators seeking to obtain licensure in the state of Texas.
TX HHS Form 5541. Corrections Medication Aide Program General Statement Enrollment
Form 5541 serves as the enrollment application for the Corrections Medication Aide Program administered by the Texas Health and Human Services Commission (HHSC).
TX HHS Form 5604. HCS Program Provider Request for Life Safety Inspection
The TX HHS Form 5604, HCS Program Provider Request for Life Safety Inspection, is a crucial document that helps solve the problem of ensuring the safety of residents in homes with life-safety concerns.
TX HHS Form 5875. HCS Waiver Program Self-Assessment Certification
The TX HHS Form 5875, HCS Waiver Program Self-Assessment Certification, is a crucial document for organizations participating in the Home and Community-based Services (HCS) waiver program.
TX HHS Form 5879. Relocation Services Contract (Provider Agreement)
The TX HHS Form 5879, Relocation Services Contract (Provider Agreement), is a crucial document that facilitates the relocation of Medicaid-eligible individuals from nursing facilities to community-based settings.