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Form 1742 Service Backup Plan for Hcs, Txhml and Cfc Services - Texas
What Is Form 1742?
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 the Form 1742?A: Form 1742 is a Service Backup Plan for HCS, TxHmL, and CFC services in Texas.
Q: What services does the Form 1742 cover?A: Form 1742 covers HCS (Home and Community-based Services), TxHmL (Texas Home Living), and CFC (Community First Choice) services.
Q: What is the purpose of the Form 1742?A: The purpose of the Form 1742 is to ensure that there is a backup plan in place if the primary service provider is unable to deliver services.
Q: Who is required to complete the Form 1742?A: Service providers for HCS, TxHmL, and CFC services in Texas are required to complete the Form 1742.
Q: When should the Form 1742 be completed?A: The Form 1742 should be completed and submitted to the Texas Department of Aging and Disability Services (DADS) as part of the initial enrollment process for service providers.
Q: What information is needed to complete the Form 1742?A: The Form 1742 requires information such as the service provider's name and address, contact information, and details of the backup plan.
Form Details:
- Released on May 1, 2015;
- 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 1742 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1742 Service Backup Plan for Hcs, Txhml and Cfc Services - Texas
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