Texas medicaid tp 1 form 2026

1. Click ‘Get Form’ to open the Texas Medicaid TP-1 form in our editor.
2. Begin by entering the Medicaid Number and Client Name at the top of the form. Ensure accuracy as this information is crucial for processing.
3. Fill in the Date of Birth and Telephone number, followed by the Client Address. This personal information helps identify the client.
4. Indicate whether the child has received therapy from the public school system in the last year by checking 'Yes' or 'No'.
5. Provide details about the Date of Initial Evaluation and attach a copy of this evaluation as required.
6. Select the Category of Therapy Being Requested by checking one or more options that apply, such as 'Pre-surgery' or 'New Condition'.
7. List Dates of Service, Service Type, and Frequency per week. Make sure that service dates do not exceed six months.
8. Ensure a Physician's signature is included unless alternative documentation is attached. Fill in details for any therapists involved.

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