Get Dads Form 3618 - The Texas Department Of Aging And Disability ... - Dads State Tx

Filling out the DADS Form 3618 is an essential process for documenting resident transactions within Texas Department of Aging and Disability Services. This guide provides clear, step-by-step instructions to assist users in completing the form online effectively.

Follow the steps to complete the DADS Form 3618 accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, input the Medicaid recipient number in the designated field. This is essential for tracking the recipient's eligibility and services.
3. Enter the Social Security number to ensure correct identification of the recipient in the system.
4. Provide the Medicare or Railroad Retirement claim number in the respective field if applicable to the recipient.
5. Input the recipient's name (last, first, middle) in the provided sections, making sure to enter the first two letters of their last name in the far-left positions.
6. Fill in the address if known, specifically for preadmission or post-discharge contexts.
7. Include the DADS vendor number in the appropriate field to help maintain accurate records.
8. Enter the contract number as relevant to the recipient's services.
9. Select the service group designation that aligns with the recipient's current or intended care.
10. Provide the NPI number in the designated area, which is necessary for identifying healthcare providers.
11. In the transaction section, specify the type of transaction, such as admission or discharge, and provide additional information on the discharge type if necessary.
12. Fill in the date of the above transaction in item 11 to reflect the accurate timing of services provided.
13. Complete the comments section with relevant notes or clarifications regarding the transaction as needed.
14. Certify your understanding by signing and dating the form in the signature section, where you acknowledge that the information provided is accurate to the best of your knowledge.
15. After filling out the form completely, users can save changes, download, print, or share the form as necessary.

Complete the DADS Form 3618 online to ensure a smooth process for resident transactions.