TX HHS Form 3639. Prescribed Pediatric Extended Care Center Informal Dispute Resolution Request
The Prescribed Pediatric Extended Care Center Informal Dispute Resolution Request (TX HHS Form 3639) is a crucial document for prescribed pediatric extended care centers (PPECCs) to resolve disputes in a timely and efficient manner.
TX HHS Form 3632. Withdrawal Confirmation
The TX HHS Form 3632, Withdrawal Confirmation, is a crucial document that helps individuals withdraw from the Texas Money Follows the Person Demonstration Program.
TX HHS Form 3629. Individual Program Plan Addendum
The TX HHS Form 3629, Individual Program Plan Addendum, helps address the needs of individuals participating in Community Living Assistance and Support Services (CLASS) or Community First Choice (CFC). This form is used to document individualized plans and track progress.
TX HHS Form 3628. Provider Agency Model Service Backup Plan
The TX HHS Form 3628, Provider Agency Model Service Backup Plan, is a crucial document that helps solve the problem of ensuring continuity of service delivery in case of an absence or emergency.
TX HHS Form 3627. Specialized Nursing Certification
The Specialized Nursing Certification Form 3627 helps healthcare professionals determine the need for specialized nursing care for individuals with specific medical conditions.
TX HHS Form 3625. CLASS and CFC Documentation of Services Delivered
The TX HHS Form 3625, CLASS and CFC Documentation of Services Delivered, is a crucial tool for service providers to document the services they deliver to individuals with disabilities or chronic conditions.
TX HHS Form 3624. Termination. Reduction or Denial of CLASS
The TX HHS Form 3624, Termination, Reduction or Denial of CLASS, helps resolve situations where an individual's eligibility for the Community Living Assistance and Support Services (CLASS) program is being terminated, reduced, or denied.
TX HHS Form 3623. Approval of Application for CLASS
The TX HHS Form 3623, Approval of Application for CLASS, is a crucial document that facilitates the enrollment process in the Community Living Assistance and Support Services (CLASS) Program.
TX HHS Form 3621-T. CLASS and CFC IPC Service Delivery Transfer Worksheet
The TX HHS Form 3621-T, CLASS and CFC IPC Service Delivery Transfer Worksheet, is a practical tool designed to facilitate the transfer of services between Community Living Assistance and Support Services (CLASS) or First Choices (CFC) providers.
TX HHS Form 3621. CLASS or CFC Individual Plan of Care
The TX HHS Form 3621, CLASS or CFC Individual Plan of Care, is a crucial document that helps individuals with disabilities develop a personalized plan for receiving community-based services.