Hhsc form 5873-2025

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The document is Form 5873, an application packet checklist for providers of Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs. It outlines the required forms and documentation needed for various entity types to apply, including legal entity name, business structure details, certifications, and personal identification requirements. The checklist ensures that applicants submit a complete and compliant application.

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Versions	Form popularity	Fillable & printable
2018	4.9 Satisfied (36 Votes)
2016	4.3 Satisfied (43 Votes)
2016	4.3 Satisfied (78 Votes)
2010	3.8 Satisfied (34 Votes)

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