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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 6503
for the current year.
Form 6503 Deaf Blind With Multiple Disabilities (Dbmd) Community First Choice (Cfc) Summary of Services Delivered - Texas
What Is Form 6503?
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 6503?
A: Form 6503 is a document for reporting the services delivered under the Deaf Blind with Multiple Disabilities (DBMD) Community First Choice (CFC) program in Texas.
Q: What is the Deaf Blind with Multiple Disabilities (DBMD) program?
A: The DBMD program is a service program in Texas that provides assistance to individuals who are both deaf and blind, and have multiple disabilities.
Q: What is the Community First Choice (CFC) program?
A: The CFC program is a Medicaid program in Texas that provides home and community-based services to individuals with disabilities.
Q: What is the purpose of Form 6503?
A: Form 6503 is used to document and report the services delivered to individuals under the DBMD CFC program in Texas.
Q: Who is required to complete Form 6503?
A: Service providers who deliver services under the DBMD CFC program in Texas are required to complete Form 6503.
Q: What information is included in Form 6503?
A: Form 6503 includes information about the individual receiving services, the services provided, and the dates and duration of the services.
Q: Is Form 6503 specific to Texas?
A: Yes, Form 6503 is specific to the Texas DBMD CFC program.
Form Details:
- Released on July 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 6503 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
