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 the Form 2110-A?
A: Form 2110-A is a Community Care Intake Nursing Facility Diversion Slot Screening form in Texas.
Q: What is the purpose of Form 2110-A?
A: The purpose of Form 2110-A is to conduct screening for nursing facility diversion slots in Texas.
Q: Who uses Form 2110-A?
A: Form 2110-A is used by community care providers in Texas.
Q: What does the Form 2110-A screening involve?
A: The Form 2110-A screening involves assessing the individual's needs and determining if they meet the criteria for a nursing facility diversion slot.
Form Details:
Download a fillable version of Form 2110-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.