Get the up-to-date Request for Termination of Waiver Program Services Form 3616 - dads state tx-2025 now

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The document is a request form from the Texas Department of Aging and Disability Services for the termination of waiver program services under the Texas Home Living (TxHmL) or Home and Community-based Services (HCS) programs. It outlines the necessary information required for termination, including personal details of the individual, reasons for termination, and signatures from relevant parties. The form emphasizes the implications of termination on service eligibility and options for transferring to different providers.

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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.

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 is a termination waiver?

Waiver Termination means the occurrence of the Scheduled Waiver Expiration Date, or, if earlier, the occurrence of any one or more of the following events: (a) any Potential Default or Event of Default under the Credit Agreement, in each case other than the Subject Default; (b) any failure by the Company for any reason

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.