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 H3618-A?
A: Form H3618-A is the Resident Transaction Notice for Designated Vendor Numbers in Texas.
Q: Who is required to use Form H3618-A?
A: Any resident vendor in Texas who has been assigned a designated vendor number is required to use Form H3618-A.
Q: What is the purpose of Form H3618-A?
A: The purpose of Form H3618-A is to notify the Texas Health and Human Services Commission of any changes in resident vendor information.
Q: What information is required on Form H3618-A?
A: Form H3618-A requires the resident vendor's name, designated vendor number, address, contact information, and any changes in vendor ownership or management.
Q: Are there any fees associated with submitting Form H3618-A?
A: No, there are no fees associated with submitting Form H3618-A.
Q: What should I do with Form H3618-A after completing it?
A: After completing Form H3618-A, it should be submitted to the Texas Health and Human Services Commission.
Q: Is there a deadline for submitting Form H3618-A?
A: There is no specific deadline for submitting Form H3618-A, but it should be submitted as soon as there are changes in resident vendor information.
Q: Can I make changes to Form H3618-A after submitting it?
A: Yes, changes can be made to Form H3618-A after submitting it by submitting a revised form with updated information.
Q: What happens if I fail to submit Form H3618-A?
A: Failure to submit Form H3618-A with updated information may result in a delay or disruption of payment for services provided by the resident vendor in Texas.
Form Details:
Download a fillable version of Form H3618-A by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.