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Form H2060-A, Addendum to Form H2060
... an assessed need for a change in the PAS component on Form H2060/Form H2060-S or Form H6516, Community First Choice Assessment. Number of Copies The original Form H2060-A/Form H2060-AS is placed in the case record. ...

Forms
... all forms as published, without revision. Except for Forms H2060 and 4800-D , Managed Care Organization (MCO) staff may ... Batch Cover Sheet   H2053-B Health Plan Selection ES H2060 Needs Assessment Questionnaire and Task/Hour Guide ES H2060-A Addendum to Form H2060 ES H2060-B Needs Assessment ...

Forms
... Batch Cover Sheet   H2053-B Health Plan Selection ES H2060 Needs Assessment Questionnaire and Task/Hour Guide ES H2060-A Addendum to Form H2060 ES H2060-B Needs Assessment Addendum ES H2062 STAR+PLUS ...

Section 10000, State Plan Long Term Services and Supports
... care organization (MCO) service coordinator using Form H2060 , Needs Assessment Questionnaire and Task/Hour Guide, and Form H2060-A , Addendum to Form H2060, or Form H6516 , Community First Choice Assessment, and ...

Section 10000, State Plan Long Term Services and Supports
... care organization (MCO) service coordinator using Form H2060 , Needs Assessment Questionnaire and Task/Hour Guide, and Form H2060-A , Addendum to Form H2060, or Form H6516 , Community First Choice Assessment, and ...

Form H2060-B, Needs Assessment Addendum
  Instructions Updated: 9/2017   Purpose Form H2060-B/H2060-BS is used as a guide for collecting and documenting ... and supports assessment information not captured on Form H2060, Needs Assessment Questionnaire and Task/Hour Guide, or ...

Appendix XXXIV, STAR+PLUS TxMedCentral Naming Conventions
... of STAR+PLUS HCBS Program Items/Services; Form H2060 , Needs Assessment Questionnaire and Task/Hour Guide; Form H2060-A , Addendum to Form H2060; Form H2060-B , Needs Assessment Addendum, as ...

Section 7000, STAR+PLUS HCBS Program and Services
... Form H6516 , Community First Choice Assessment, or Form H2060 , Needs Assessment Questionnaire and Task/Hour Guide, and any addendums to Form H2060 are completed by the managed care organization (MCO) to ... homes. PAS tasks must be provided as identified on Form H2060 and any addendums to Form H2060. The AFC home provider ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... Community First Choice (CFC) services identified on Form H2060 , Needs Assessment Questionnaire and Task/Hour Guide, ... Form H6516 , Community First Choice Assessment, and Form H2060-A , Addendum to Form H2060. Individuals receiving STAR+PLUS Home and Community ...

Section 4000, STAR+PLUS HCBS Program Services
... Form H6516 , Community First Choice Assessment or Form H2060 , Needs Assessment Questionnaire and Task/Hour Guide, and any addendums to Form H2060, are completed by the managed care organization (MCO) ... tasks must be provided, as identified on Form H6516, Form H2060 and any addendums to Form H2060. The AFC home provider ...