WebTexas Department of Aging and Disability Services Form 3052 September 2011 Medicaid Personal Attendant Services Practitioner's Statement of Medical Need Program … WebHHS Headquarters. U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20241 Toll Free Call Center: 1-877-696-6775
Changes to Form 3052 for Community Attendant Services and
Form 3052 is completed for initial referrals for PHC and CAS, and for referrals for people whose initial medical need for services was temporary. If a person began services based on a temporary need and the need becomes ongoing, a new Form 3052 is required. The PHC or CAS HCSSA may complete Form … See more To be used by the following to request a statement of medical need from the person’s practitioner: 1. Primary Home Care (PHC) and Community Attendant Services (CAS) … See more CCSE staff or the regional nurse must keep Form 3052 in the person’s file as part of the case record for three years and 90 days after the case is closed. The HCSSA retains a copy of the … See more The HCSSA: 1. Completes Part I, Person’s Information, and Part II, HCSSA’s or Financial Management Services Agency’s (FMSA’s) Statement, and any other relevant information on Form 3052. They … See more The HCSSA or employer must complete Part I, Person’s Information. Name— Enter the person’s full name as it appears on Form 2101, Authorization for Community Care … See more WebDec 7, 2024 · Program Name/Procurement Name. Texas Civil Commitment Office. Polygraph Services for Civilly Committed Sex Offenders. Release Date. 8/22/2024. Submission Deadline. 8/31/2027. Procurement Number. HHS0012062. define strap urban dictionary
TEXAS HEALTH AND HUMAN SERVICES COMMISSION P O …
WebMar 1, 2024 · HHSC Publishes IGT Deadlines for Directed Payment Programs HHSC Models Estimated Hospital Program Payments for Federal Fiscal Year 2024 and 2024 Notice of Public Hearing on Proposed Rule for the Public Health Provider – Charity Care Program Monitoring Plan for Local Funds Used to Support Medicaid Payments WebDec 7, 2024 · HHSC : HCBS-AMH Home and Community Based Services - Adult Mental Health Provider Agency: 9/1/2024: 8/31/2025 : HHS0010416: HHSC : Office of Deaf and … fee ways to sign documents