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Form 2805 Youth Empowerment Services Waiver - Comprehensive Service Provider (CSP) / Wraparound Provider Organization (Wpo) Selection - Texas
What Is Form 2805?
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 2805?
A: Form 2805 is a document related to the Youth Empowerment Services (YES) Waiver program in Texas.
Q: What is the Youth Empowerment Services (YES) Waiver program?
A: The YES Waiver program is a Medicaid program in Texas that provides comprehensive services to children and youth with disabilities.
Q: What is a Comprehensive Service Provider (CSP)?
A: A Comprehensive Service Provider (CSP) is an organization that provides a wide range of services to children and youth with disabilities under the YES Waiver program.
Q: What is a Wraparound Provider Organization (WPO)?
A: A Wraparound Provider Organization (WPO) is an organization that provides individualized care coordination and support services to children and youth with disabilities under the YES Waiver program.
Q: What is the purpose of Form 2805?
A: Form 2805 is used to select a Comprehensive Service Provider (CSP) or a Wraparound Provider Organization (WPO) for a child or youth participating in the YES Waiver program.
Q: Who needs to fill out Form 2805?
A: Form 2805 needs to be filled out by the individual or entity responsible for selecting a Comprehensive Service Provider (CSP) or a Wraparound Provider Organization (WPO) for a child or youth participating in the YES Waiver program.
Q: Is there a fee for submitting Form 2805?
A: There is no fee for submitting Form 2805.
Q: What information is required on Form 2805?
A: Form 2805 requires information about the child or youth, the individual or entity selecting the provider, and the selected Comprehensive Service Provider (CSP) or Wraparound Provider Organization (WPO).
Q: How long does it take to process Form 2805?
A: The processing time for Form 2805 may vary, but it is typically completed within a reasonable timeframe.
Q: What should I do if I have questions about Form 2805?
A: If you have questions about Form 2805, you can contact the YES Waiver program or the Texas Health and Human Services Commission for assistance.
Form Details:
- Released on May 1, 2017;
- 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 2805 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 2805 Youth Empowerment Services Waiver - Comprehensive Service Provider (CSP) / Wraparound Provider Organization (Wpo) Selection - Texas
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