Form 5873 Waiver and Community-Based Programs and Services - Medicaid and Chip Services Contract Application Packet Checklist - Texas

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Form 5873 Waiver and Community-Based Programs and Services - Medicaid and Chip Services Contract Application Packet Checklist - Texas

What Is Form 5873?

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 5873?A: Form 5873 is a waiver and community-based programs and services - Medicaid and Chip Services Contract Application Packet Checklist.

Q: What is the purpose of this form?A: The purpose of this form is to provide a checklist for the Medicaid and Chip Services Contract Application Packet.

Q: Who uses this form?A: This form is used by individuals or organizations applying for Medicaid and Chip Services Contract in Texas.

Q: What is a waiver and community-based program and service?A: A waiver and community-based program and service refers to services that are provided in the community to individuals with intellectual or developmental disabilities.

Q: What is Medicaid and Chip Services?A: Medicaid and Chip Services are healthcare programs that provide medical coverage to eligible low-income individuals and families.

Q: What is the purpose of the contract application packet?A: The purpose of the contract application packet is to apply for participation in Medicaid and Chip Services as a provider.

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Form Details:

  • Released on June 1, 2020;
  • 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 5873 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 5873 Waiver and Community-Based Programs and Services - Medicaid and Chip Services Contract Application Packet Checklist - Texas

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