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.
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 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.
Form Details:
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.