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.
Q: What is Form 1723?
A: Form 1723 is the Electronic Visit Verification (EVV) Request for Employer Phone Number(s) form.
Q: What is Electronic Visit Verification (EVV)?
A: Electronic Visit Verification (EVV) is a system that electronically verifies and documents the delivery of home healthcare services.
Q: Why is a phone number required on Form 1723?
A: A phone number is required on Form 1723 to ensure that the employer can be contacted for verification purposes.
Q: Who needs to provide their phone number on Form 1723?
A: The employer needs to provide their phone number(s) on Form 1723.
Q: Is Form 1723 specific to Texas?
A: Yes, Form 1723 is specific to Texas.
Form Details:
Download a fillable version of Form 1723 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.