This version of the form is not currently in use and is provided for reference only. Download this version of Form 3709 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. Check the official instructions before completing and submitting the form.
Q: What is Form 3709?
A: Form 3709 is the Medicaid Bed Waiver Application for Nursing Facilities in Texas.
Q: What is a Medicaid Bed Waiver?
A: A Medicaid Bed Waiver allows individuals to receive Medicaid-funded long-term care services in a nursing facility.
Q: Who can apply for a Medicaid Bed Waiver in Texas?
A: Individuals who require nursing facility care and meet the eligibility criteria for Medicaid can apply for a Medicaid Bed Waiver in Texas.
Q: What information is required on Form 3709?
A: Form 3709 requires information about the applicant's personal and financial details, medical condition, and need for nursing facility care.
Q: What happens after submitting Form 3709?
A: After submitting Form 3709, the Texas Health and Human Services Commission will review the application and determine Medicaid eligibility.
Q: What if my Form 3709 is approved?
A: If your Form 3709 is approved, you will be eligible to receive Medicaid-funded long-term care services in a nursing facility.
Q: What if my Form 3709 is denied?
A: If your Form 3709 is denied, you will receive a written notice explaining the reason for denial and information about the appeals process.
Form Details:
Download a fillable version of Form 3709 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.