TX HHS Form 3615. Request to Continue Suspension of Waiver Program Services
The TX HHS Form 3615, "Request to Continue Suspension of Waiver Program Services," is a crucial document for individuals who require waiver program services, such as Texas Home Living (TxHmL) or Home and Community-based Services (HCS).
TX HHS Form 3613-A. SNF. NF. ICF/IID. ALF. DAHS including ISS providers and PPECC Provider Investigation Report with Cover Sheet
Form 3613-A is an official Provider Investigation Report used in Texas to document and report incidents, allegations, and investigation findings involving individuals receiving care in regulated healthcare and long-term care settings.
TX HHS Form 3613. Provider Investigation Report with Fax Cover Sheet (Home Health. Hospice and Personal Assistance Services Provider Use Only)
The TX HHS Form 3613, Provider Investigation Report with Fax Cover Sheet, is a crucial tool for home health, hospice, and personal assistance services providers in Texas.
TX HHS Form 3612. Transfer Process Checklist
The TX HHS Form 3612 Transfer Process Checklist is a crucial document that facilitates the transfer of services for individuals in Texas Health and Human Services (HHS) programs.
TX HHS Form 3611. Involuntary Termination of Consumer Directed Services IPC Cover Sheet
The TX HHS Form 3611, Involuntary Termination of Consumer Directed Services IPC Cover Sheet, is a crucial document for resolving situations where the health or welfare of an individual is at risk.
TX HHS Form 3610. Informal Review Request
The “Informal Review Request” form (Form 3610, December 2020-E) is used by providers participating in the Texas Home Living (TxHmL) and Home and Community-based Services (HCS) waiver programs to request an informal review of findings issued by the Texas Health and Human Services Commission (HHSC)
TX HHS Form 3608. Individual Plan of Care (IPC) HCS and CFC
Form 3608 is an official planning and authorization document used in Texas Medicaid programs for individuals receiving services through Home and Community-based Services (HCS) and Community First Choice (CFC).
TX HHS Form 3605. HCS Parent or Legally Authorized Representative (LAR) Contact Information for Individuals Under 22 Years of Age
The TX HHS Form 3605, "HCS Parent or Legally Authorized Representative (LAR) Contact Information for Individuals Under 22 Years of Age," is a crucial document that helps ensure timely communication between parents or legally authorized representatives (LARs) and the Texas Health and Human Service
TX HHS Form 3604-A. Ownership Transfer Affidavit Addendum for ICF/IID
The TX HHS Form 3604-A, Ownership Transfer Affidavit Addendum for ICF/IID, is a crucial document that facilitates the transfer of ownership of an Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID) provider agreement.
TX HHS Form 3591. CLASS IPC/IDRC Cover Sheet
The TX HHS Form 3591, CLASS IPC/IDRC Cover Sheet, is a crucial document for healthcare providers in Texas. This form helps facilitate the enrollment process for individuals receiving Medicaid services through the CLASS Waiver Program.