Form 8625-M Designation of a Long-Term Care Ombudsman as Representative and Request to Appeal a Medicaid Decision - Texas

Form 8625-M Designation of a Long-Term Care Ombudsman as Representative and Request to Appeal a Medicaid Decision - Texas

What Is Form 8625-M?

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 8625-M?
A: Form 8625-M is a document used in Texas to designate a Long-Term Care Ombudsman as a representative and request an appeal of a Medicaid decision.

Q: What is a Long-Term Care Ombudsman?
A: A Long-Term Care Ombudsman is a representative who advocates for residents in long-term care facilities and helps resolve issues related to their care.

Q: Why would I need to designate a Long-Term Care Ombudsman as my representative?
A: You may need to designate a Long-Term Care Ombudsman if you are a resident in a long-term care facility and need assistance with appealing a Medicaid decision.

Q: What is Medicaid?
A: Medicaid is a government program that provides health insurance to low-income individuals and families.

Q: Can a Long-Term Care Ombudsman help me with other issues?
A: Yes, a Long-Term Care Ombudsman can assist with a variety of concerns related to long-term care facilities, including quality of care, resident rights, and discharge issues.

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Form Details:

  • Released on July 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 8625-M by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 8625-M Designation of a Long-Term Care Ombudsman as Representative and Request to Appeal a Medicaid Decision - Texas

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