Form 1596 Consumer Directed Services Agreement for Community Attendant Services Annual Reauthorization - Texas

Form 1596 Consumer Directed Services Agreement for Community Attendant Services Annual Reauthorization - Texas

What Is Form 1596?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1596?
A: Form 1596 is the Consumer Directed Services Agreement for Community Attendant Services Annual Reauthorization form in Texas.

Q: What is the purpose of Form 1596?
A: The purpose of Form 1596 is to reauthorize and renew the Consumer Directed Services Agreement for Community Attendant Services in Texas on an annual basis.

Q: Who needs to fill out Form 1596?
A: The form needs to be filled out by individuals receiving community attendant services in Texas.

Q: What information is required on Form 1596?
A: Form 1596 requires information such as the consumer's name, address, social security number, and Medicaid number.

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Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1596 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1596 Consumer Directed Services Agreement for Community Attendant Services Annual Reauthorization - Texas

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