TX HHS Form 3619. Medicare/Skilled Nursing Facility Patient Transaction Notice
The TX HHS Form 3619, Medicare/Skilled Nursing Facility Patient Transaction Notice, is a crucial document that helps resolve issues related to patient transactions in skilled nursing facilities.
TX HHS Form 3618. Resident Transaction Notice
The Resident Transaction Notice (TX HHS Form 3618) is a crucial document that helps track and record resident transactions in various healthcare settings.
TX HHS Form 3617. Request for Transfer of Waiver Program Services
The TX HHS Form 3617, Request for Transfer of Waiver Program Services, is a crucial document that helps individuals with intellectual and developmental disabilities (I/DD) transfer their waiver program services to a new provider.
TX HHS Form 3616. Request for Termination of Services Provided by HCS/TxHmL Waiver Provider
The TX HHS Form 3616 is a request for termination of services provided by Home and Community-based Services (HCS) or Texas Home Living (TxHmL) Waiver Provider.
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. 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 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.