Form 3706 Nursing Facility Customized Power Wheelchair (Cpwc) Authorization - Texas

What Is Form 3706?

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 3706?
A: Form 3706 is the Nursing Facility Customized Power Wheelchair (CPWC) Authorization form in Texas.

Q: What is a Nursing Facility Customized Power Wheelchair (CPWC)?
A: A Nursing Facility Customized Power Wheelchair (CPWC) is a motorized wheelchair that is customized to meet the mobility needs of individuals residing in nursing facilities.

Q: Who needs to fill out Form 3706?
A: The form needs to be filled out by a healthcare professional or provider who is seeking authorization for a Nursing Facility Customized Power Wheelchair (CPWC) for a resident of a nursing facility in Texas.

Q: What information is required on Form 3706?
A: Form 3706 requires information about the resident, healthcare professional/provider, wheelchair specifications, and justification for the need of the CPWC.

Q: How long does it take to process Form 3706?
A: The processing time for Form 3706 varies, but it usually takes a few weeks to receive a decision from the Texas Health and Human Services Commission.

Q: Are there any fees associated with Form 3706?
A: There are no fees associated with submitting Form 3706 for authorization of a Nursing Facility Customized Power Wheelchair (CPWC).

Q: Who should I contact for further assistance with Form 3706?
A: For further assistance with Form 3706, you can contact the Texas Health and Human Services Commission or consult with a healthcare professional/provider.