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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 1058
for the current year.
Form 1058 Request for Home and Community-Based Services Crisis Diversion Slot - Texas
What Is Form 1058?
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 1058?
A: Form 1058 is a request for Home and Community-Based Services Crisis Diversion Slot in Texas.
Q: What is a Home and Community-Based Services Crisis Diversion Slot?
A: A Home and Community-Based Services Crisis Diversion Slot is a program in Texas that provides temporary services to individuals experiencing a crisis situation.
Q: Who can use Form 1058?
A: Individuals in Texas who are experiencing a crisis situation and are in need of temporary services can use Form 1058.
Q: What information is required on Form 1058?
A: Form 1058 requires information about the individual's personal details, crisis situation, and the services they need.
Q: Is there a deadline for submitting Form 1058?
A: There is no specific deadline, but it is recommended to submit the form as soon as possible to ensure timely access to services.
Q: What happens after I submit Form 1058?
A: After submitting Form 1058, your request will be reviewed and a determination will be made about your eligibility for the Home and Community-Based Services Crisis Diversion Slot program.
Q: How long does it take to get a response after submitting Form 1058?
A: The response time may vary, but you should receive a decision about your eligibility within a reasonable timeframe.
Q: Can I appeal if my request is denied?
A: Yes, if your request for the Home and Community-Based Services Crisis Diversion Slot program is denied, you have the right to appeal the decision.
Form Details:
- Released on January 1, 2021;
- 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 fillable version of Form 1058 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1058 Request for Home and Community-Based Services Crisis Diversion Slot - Texas
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