Form 2437 Notification of Nursing Facility Admission of Individual Under Age 22 - Texas

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form 2437 for the current year.

Form 2437 Notification of Nursing Facility Admission of Individual Under Age 22 - Texas

What Is Form 2437?

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 2437?
A: Form 2437 is a notification form related to the nursing facility admission of an individual under the age of 22 in Texas.

Q: Who is required to complete Form 2437?
A: The nursing facility that admits an individual under 22 years old is responsible for completing Form 2437.

Q: What is the purpose of Form 2437?
A: Form 2437 is used to notify the Texas Health and Human Services Commission about the admission of an individual under age 22 to a nursing facility.

Q: What information is required on Form 2437?
A: Form 2437 requires information about the individual being admitted, the nursing facility, and the individual's Medicaid number.

Q: Is there a deadline for submitting Form 2437?
A: Yes, Form 2437 must be submitted within seven calendar days of the nursing facility admission.

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Form Details:

  • Released on January 1, 2012;
  • 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 printable version of Form 2437 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 2437 Notification of Nursing Facility Admission of Individual Under Age 22 - Texas

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