This version of the form is not currently in use and is provided for reference only. Download this version of Form 1091 for the current year.
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 1091?
A: Form 1091 is the First Dental Home Certification Application.
Q: What is the purpose of Form 1091?
A: The purpose of Form 1091 is to apply for First Dental Home Certification in Texas.
Q: Who needs to fill out Form 1091?
A: Dental providers who want to become certified as a First Dental Home in Texas need to fill out Form 1091.
Q: What information do I need to provide on Form 1091?
A: You will need to provide your personal information, dental practice details, and submit the required supporting documents.
Q: Is there a fee to submit Form 1091?
A: Yes, there is a fee associated with the submission of Form 1091. The fee amount may vary and should be confirmed with the Texas Health and Human Services Commission.
Q: How long does it take to process Form 1091?
A: The processing time for Form 1091 may vary. It is recommended to check with the Texas Health and Human Services Commission for the most up-to-date information.
Q: What is the deadline for submitting Form 1091?
A: The deadline for submitting Form 1091 may vary. It is important to check the specific instructions provided by the Texas Health and Human Services Commission.
Form Details:
Download a fillable version of Form 1091 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.