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Form 2124 Supported Home Living / Community Support Transportation Log - Texas
What Is Form 2124?
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 2124?A: Form 2124 is the Supported Home Living/Community Support Transportation Log in Texas.
Q: What is Supported Home Living?A: Supported Home Living is a program in Texas that provides assistance and support to individuals with intellectual and developmental disabilities who live in their own homes or with their families.
Q: What is Community Support?A: Community Support is a program in Texas that provides assistance and support to individuals with intellectual and developmental disabilities in accessing community resources and participating in community activities.
Q: What is the purpose of the Transportation Log?A: The Transportation Log is used to document the transportation services provided to individuals receiving Supported Home Living or Community Support in Texas.
Q: Who is responsible for completing the Transportation Log?A: The provider or agency responsible for providing the transportation services is responsible for completing the Transportation Log.
Q: What information is recorded in the Transportation Log?A: The Transportation Log records the date, time, destination, mode of transportation, purpose of the trip, and the individual's name and Medicaid number.
Q: Why is the Transportation Log important?A: The Transportation Log is important for tracking and documenting the transportation services provided to individuals receiving Supported Home Living or Community Support in Texas.
Form Details:
- Released on May 1, 2019;
- 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 2124 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Texas Health and Human Services.
