Day Activity and Health Services (DAHS) - Form 3050-2025

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  1. Click ‘Get Form’ to open the Day Activity and Health Services (DAHS) - Form 3050 in the editor.
  2. Begin by filling out the personal information section, including your name, address, and contact details. Ensure all entries are accurate for effective communication.
  3. Next, navigate to the health services section. Here, you will need to provide details about any medical conditions or ongoing treatments. Use the text fields to elaborate on your health status.
  4. Proceed to the activity preferences section. Select your preferred activities from the provided options. You can easily check boxes or type in additional activities that interest you.
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Form 3050 is completed by the DAHS facility nurse for DAHS applicants/individuals/members: who need initial prior approval; who transfer from one facility to another; when the licensed nurse determines an individual needs a new service plan developed; or.
In accordance with federal law, the Texas Health Steps Comprehensive Care Program (CCP) provides all medically necessary treatment for correction of any physical or mental health problems for everyone from birth to age 20 who receives Medicaid.