PDF
Word
Form 3691-A Service Area Designation Hcs, Txhml, Cds and Tas - Texas
What Is Form 3691-A?
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 3691-A?
A: Form 3691-A is the Service Area Designation form for HCS, TxHmL, CDS, and TAS programs in Texas.
Q: What does HCS stand for?
A: HCS stands for Home and Community-based Services.
Q: What does TxHmL stand for?
A: TxHmL stands for Texas Home Living.
Q: What does CDS stand for?
A: CDS stands for Community First Choice Consumer Directed Services.
Q: What does TAS stand for?
A: TAS stands for Texas Home Living Specialty Services.
Q: What is the purpose of the form?
A: The purpose of Form 3691-A is to designate the service area for these programs in Texas.
Q: Who is required to fill out this form?
A: Providers of HCS, TxHmL, CDS, and TAS programs in Texas are required to fill out this form to designate their service area.
Form Details:
- Released on December 1, 2018;
- 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 3691-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 3691-A Service Area Designation Hcs, Txhml, Cds and Tas - Texas
1
2
3
