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Form 1742 Service Backup Plan for Hcs, Txhml and Cfc Services - Texas
What Is Form 1742?
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 the Form 1742?
A: Form 1742 is a Service Backup Plan for HCS, TxHmL, and CFC services in Texas.
Q: What services does the Form 1742 cover?
A: Form 1742 covers HCS (Home and Community-based Services), TxHmL (Texas Home Living), and CFC (Community First Choice) services.
Q: What is the purpose of the Form 1742?
A: The purpose of the Form 1742 is to ensure that there is a backup plan in place if the primary service provider is unable to deliver services.
Q: Who is required to complete the Form 1742?
A: Service providers for HCS, TxHmL, and CFC services in Texas are required to complete the Form 1742.
Q: When should the Form 1742 be completed?
A: The Form 1742 should be completed and submitted to the Texas Department of Aging and Disability Services (DADS) as part of the initial enrollment process for service providers.
Q: What information is needed to complete the Form 1742?
A: The Form 1742 requires information such as the service provider's name and address, contact information, and details of the backup plan.
Form Details:
- Released on May 1, 2015;
- 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 1742 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1742 Service Backup Plan for Hcs, Txhml and Cfc Services - Texas
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