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Form 3608 now will be used for the IPC in the HCS program. Likewise Form 8582 will be used for the IPC in the TxHmL program. Forms 3608-A and 8583 will no longer be used. All HCS and TxHmL program providers contracted with DADS are required to use the new IPC forms. February 13 2008 To Home and Community-based Services HCS Program Providers Texas Home Living TxHmL Program Providers and Mental Retardation Authorities MRAs Subject Information Lette.

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What is HCS? HCS is a Medicaid waiver program that supplies services and supports to Texans with an intellectual disability (ID) or a related condition so that they can live in the community.

Proof of income from your job – One pay stub or paycheck from the last 60 days, a statement from your employer, or self-employment records. Medical costs – Bills or statements from health-care providers (doctors, drug stores, etc.) from the past 3 months.

Form 1024 is used to document the waiver benefits that result in an Individual Service Plan (ISP) or Individual Plan of Care (IPC) exceeding the assigned cost ceiling and to establish the medical need and rationale for these items or services.

Entities complete Form 3684 to apply for enrollment in Texas Medicaid and existing providers to re-enroll in Texas Medicaid.

Purpose. To provide TANF, food stamp, and Medicaid clients with a list of acceptable sources of verification required to determine eligibility.

Medical Expenses - Medical bills, receipts or statements from the provider. Insurance Policies - Copies of life and burial policies; statements from the insurance provider showing the current value. Rent/Mortgage - Copies of checks or check stubs, statement from mortgage lender or landlord.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232