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 8728 Icf/Iid?
A: Form 8728 Icf/Iid is a form used in Texas to request authorization for an Augmentative Communication Device (ACD) system.
Q: What is an Augmentative Communication Device (ACD) system?
A: An Augmentative Communication Device (ACD) system is a device that helps individuals with communication disabilities to express themselves.
Q: Who can apply for Form 8728 Icf/Iid?
A: This form is used by individuals with a diagnosis of Intellectual Disability (ID), or related conditions, who are eligible for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) in Texas.
Q: What is the purpose of Form 8728 Icf/Iid?
A: The purpose of this form is to request authorization for an Augmentative Communication Device (ACD) system as part of the services provided by an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).
Q: Is there a fee associated with Form 8728 Icf/Iid?
A: There is no fee associated with submitting Form 8728 Icf/Iid.
Q: What information is required on Form 8728 Icf/Iid?
A: The form requires information about the individual applying, their diagnosis, the requested ACD system, and the signature of the physician or healthcare provider.
Q: How long does it take to process Form 8728 Icf/Iid?
A: The processing time for Form 8728 Icf/Iid varies, but it is generally within 30 days. It is recommended to submit the form well in advance to allow for processing time.
Q: Can I appeal if my Form 8728 Icf/Iid is denied?
A: Yes, if your Form 8728 Icf/Iid is denied, you have the right to appeal the decision. The denial letter will provide instructions on how to appeal.
Q: Who should I contact for more information about Form 8728 Icf/Iid?
A: For more information about Form 8728 Icf/Iid, you can contact your local ICF/IID facility or the Texas Health and Human Services.
Form Details:
Download a printable version of Form 8728 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.