Form 3611 Involuntary Termination of Consumer Directed Services (Cds) Individual Plan of Care (Ipc) Cover Sheet - Texas

Form 3611 Involuntary Termination of Consumer Directed Services (Cds) Individual Plan of Care (Ipc) Cover Sheet - Texas

What Is Form 3611?

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 3611?A: Form 3611 is used for the involuntary termination of Consumer Directed Services (CDS) Individual Plan of Care (IPC) in Texas.

Q: What is Consumer Directed Services (CDS)?A: Consumer Directed Services (CDS) is a program that allows individuals to manage their own home care services.

Q: What is an Individual Plan of Care (IPC)?A: An Individual Plan of Care (IPC) is a document that outlines the specific care and support services for an individual participating in the CDS program.

Q: When is Form 3611 used?A: Form 3611 is used when there is a need to terminate the CDS Individual Plan of Care (IPC) involuntarily.

Q: Who is responsible for completing Form 3611?A: The person or entity responsible for the termination of the CDS Individual Plan of Care (IPC) is responsible for completing Form 3611.

Q: What information is required on Form 3611?A: Form 3611 requires information such as the individual's name, case number, reason for termination, and the effective date of the termination.

Q: What should I do if I need to terminate CDS IPC?A: If you need to terminate the Consumer Directed Services (CDS) Individual Plan of Care (IPC), you should fill out Form 3611 and submit it to the appropriate authority in Texas.

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Form Details:

  • Released on February 1, 2012;
  • 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 3611 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3611 Involuntary Termination of Consumer Directed Services (Cds) Individual Plan of Care (Ipc) Cover Sheet - Texas

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