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.
Q: What is Form 8627?
A: Form 8627 is the Request for Review of Individual Plan of Care (IPC) Cost Over Maximum Cost Ceiling cover sheet.
Q: What is the purpose of Form 8627?
A: The purpose of Form 8627 is to request a review of the individual plan of care costs that exceed the maximum cost ceiling.
Q: Who can use Form 8627?
A: Form 8627 can be used by individuals in Texas who have an individual plan of care and need to request a review of costs exceeding the maximum cost ceiling.
Form Details:
Download a fillable version of Form 8627 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.