3616 services hcs txhml form-2025

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The document is Form 3616, a request for termination of services provided by the Texas Home Living (TxHmL) or Home and Community-based Services (HCS) waiver program. It outlines the necessary information required for termination, including individual details, reasons for termination, and signatures from relevant parties. The form emphasizes the implications of termination on Medicaid eligibility and service continuity.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (130 Votes)
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What is Texas Rules of Civil Procedure 244?

Where service has been made by publication, and no answer has been filed nor appearance entered within the prescribed time, the court shall appoint an attorney to defend the suit in behalf of the defendant, and judgment shall be rendered as in other cases; but, in every such case a statement of the evidence, approved

What TMHPT form is required when a person is terminating from TxHmL to accept an HCS offer?

Form 3616, Request for Termination of Services Provided by HCS/TxHmL Waiver Provider (only the program provider and SC are required to sign and date the form), and.

What is a TxHmL provider?

TxHmL is a Medicaid waiver program that supplies essential services and supports to Texans with an intellectual disability (ID) or a related condition so that they can continue to live in the community.

What is TxHmL?

Applicant A Texas resident seeking services in the TxHmL Program. What is TxHmL? TxHmL is a Medicaid waiver program that supplies essential services and supports to Texans with an intellectual disability (ID) or a related condition so that they can continue to live in the community.

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