Form 8627, Request for Review of Individual Plan of Care (IPC) Cost Over Maximum Cost Ceiling Cover Sheet

Texas Health and Human Services

This government document is issued by Texas Health and Human Services for use in Texas

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File Details: PDF (113 KB)
Downloads: 6
Source
https://www.hhs.texas.gov/regulations/forms/8000-8999/form-8627-request-review-individual-plan-care-ipc-cost-over-maximum-cost-ceiling-cover-sheet

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