Form 3642 Icf / Iid Medicaid Bed Reallocation Application - Texas

Form 3642 Icf / Iid Medicaid Bed Reallocation Application - Texas

What Is Form 3642?

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 3642 Icf/Iid Medicaid Bed Reallocation Application?
A: Form 3642 is an application used in Texas for the reallocation of Medicaid beds in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).

Q: What is an ICF/IID?
A: ICF/IID stands for Intermediate Care Facility for Individuals with Intellectual Disabilities. It is a residential facility that provides comprehensive care and support for individuals with intellectual disabilities or related conditions.

Q: What is Medicaid bed reallocation?
A: Medicaid bed reallocation refers to the process of transferring or reallocating Medicaid-certified beds in ICF/IID facilities to other facilities within the same state.

Q: Who can apply using Form 3642?
A: For bed reallocation in Texas, only the current owner, lessee, or operator of an ICF/IID facility can apply using Form 3642.

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Form Details:

  • Released on September 1, 2019;
  • 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 3642 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3642 Icf / Iid Medicaid Bed Reallocation Application - Texas

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