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Form 3642 Icf / Iid Medicaid Bed Reallocation Application - Texas
What Is Form 3642?
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 3642 Icf/Iid Medicaid Bed Reallocation Application?A: Form 3642 is an application used in Texas for the reallocation of Medicaid beds in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).
Q: What is an ICF/IID?A: ICF/IID stands for Intermediate Care Facility for Individuals with Intellectual Disabilities. It is a residential facility that provides comprehensive care and support for individuals with intellectual disabilities or related conditions.
Q: What is Medicaid bed reallocation?A: Medicaid bed reallocation refers to the process of transferring or reallocating Medicaid-certified beds in ICF/IID facilities to other facilities within the same state.
Q: Who can apply using Form 3642?A: For bed reallocation in Texas, only the current owner, lessee, or operator of an ICF/IID facility can apply using Form 3642.
Form Details:
- Released on September 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 3642 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 3642 Icf / Iid Medicaid Bed Reallocation Application - Texas
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