Form 4121, Home and Community-based Services Texas: Fill out & sign online

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What is HHS program Texas?

HHS provides health care services to Texas women, such as preventing unintended pregnancies, nurturing healthier pregnancies, fighting domestic violence, and taking care of children. Texans also can apply for insurance for their children through Childrens Health Insurance Program and Medicaid (see the links above).

What are personal assistance services in Texas?

What is Personal Care Services? Personal Care Services is a Medicaid benefit that helps clients with everyday tasks. These tasks are called activities of daily living and instrumental activities of daily living.

How do you qualify for provider services in Texas?

To be eligible for the PHC program, Texas residents must be 21+ years old and require assistance to perform at least one of the activities of daily living, such as bathing, grooming, eating, or toileting. Their functional limitation must result from a medical condition and must be documented by a medical professional.

What is the additional enrollment criteria for out of state providers for Texas Medicaid?

Enrollment Criteria for Out-of-State Providers A medical emergency documented by the attending physician or other provider. The clients health is in danger if he or she is required to travel to Texas. Services are more readily available in the state where the client is temporarily located.

How do I enroll in Medicaid provider in Texas?

Enrolling in Texas Medicaid through TMHP Or via email at: IDDWaiverContractEnrollment@hhsc.state.tx.us. Or via email at: CAPMNFICFContracts@hhsc.state.tx.us. Pharmacies that wish to participate in Texas Medicaid must enroll before providing outpatient prescription services or participating in a managed care network.

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Who qualifies for provider services in Texas?

To be eligible for the PHC program, Texas residents must be 21+ years old and require assistance to perform at least one of the activities of daily living, such as bathing, grooming, eating, or toileting. Their functional limitation must result from a medical condition and must be documented by a medical professional.

How do I become a PHC provider in Texas?

Contracting to Provide Services PHC providers must be licensed as a Home and Community Support Services Agency (HCSSA) within the category of Licensed Home Health Services, Licensed and Certified Home Health Services, or Personal Assistance Services and have a contract with HHSC to provide PHC services.

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What is HHS program Texas?

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