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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 6500-T
for the current year.
Form 6500-T Ipc Service Delivery Transfer Worksheet - Texas
What Is Form 6500-T?
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 6500-T?A: Form 6500-T is the Ipc Service Delivery Transfer Worksheet.
Q: What is the purpose of Form 6500-T?A: The purpose of Form 6500-T is to transfer IPC service delivery from one provider to another in the state of Texas.
Q: Who can use Form 6500-T?A: Form 6500-T can be used by providers of IPC services in Texas.
Q: How do I fill out Form 6500-T?A: You need to provide information about the current provider, the new provider, and the reasons for the transfer.
Q: Are there any fees associated with Form 6500-T?A: There are no fees associated with submitting Form 6500-T.
Q: What is IPC?A: IPC stands for Intellectual and Developmental Disabilities/Related Conditions Program.
Form Details:
- Released on January 1, 2023;
- 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 6500-T by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 6500-T Ipc Service Delivery Transfer Worksheet - Texas
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