Form H2065-A Notification of Community Care Services - Texas

Form H2065-A Notification of Community Care Services - Texas

What Is Form H2065-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 H2065-A?
A: Form H2065-A is a notification document used in Texas for Community Care Services.

Q: What is the purpose of Form H2065-A?
A: The purpose of Form H2065-A is to notify individuals receiving or requesting community care services in Texas.

Q: Who uses Form H2065-A?
A: Form H2065-A is used by individuals receiving or requesting community care services in Texas.

Q: What information does Form H2065-A contain?
A: Form H2065-A contains information about the type of community care services received or requested, the designated representative, service provider information, and other relevant details.

Q: Is Form H2065-A mandatory?
A: Yes, Form H2065-A is mandatory for individuals receiving or requesting community care services in Texas.

Q: Are there any fees associated with submitting Form H2065-A?
A: No, there are no fees associated with submitting Form H2065-A.

Q: Is there a deadline for submitting Form H2065-A?
A: There may be a deadline for submitting Form H2065-A, which will be specified by the HHSC or the service provider. It is recommended to submit the form as soon as possible.

Q: Who should I contact for more information about Form H2065-A?
A: For more information about Form H2065-A, you can contact the Texas Health and Human Services Commission (HHSC) or the community care service provider.

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Form Details:

  • Released on September 1, 2017;
  • 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 printable version of Form H2065-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form H2065-A Notification of Community Care Services - Texas

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