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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 1722
for the current year.
Form 1722 Employer's Selection for Electronic Visit Verification Responsibilities - Texas
What Is Form 1722?
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 1722?
A: Form 1722 is the Employer's Selection for Electronic Visit Verification Responsibilities in Texas.
Q: Who needs to fill out Form 1722?
A: Employers in Texas who are required to use Electronic Visit Verification (EVV) must fill out Form 1722.
Q: What is Electronic Visit Verification (EVV)?
A: Electronic Visit Verification (EVV) is a system that electronically verifies the delivery of in-home healthcare services.
Q: What are the responsibilities of employers regarding EVV?
A: Employers are responsible for selecting an EVV system and ensuring compliance with EVV requirements for their employees.
Form Details:
- Released on October 1, 2013;
- 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 1722 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
