Information Required for Participants to enroll and to continue enrollment***= Required for EVERY participant NO EXCEPTIONS
***
Required for Enrollment
Required for Enrollment and Yearly
Required for Enrollment for clients with WAIVER servicesHCS, TxHml, CLASS, MDCP, etc
Required for Enrollment for clients with NO waiver servicesNOTE: If you HAVE a WAIVER provider this form is NOT needed.
Required only for clients who have an ACTIVE plan/guidelines
Required only for clients who take 12 noon medications during attending hours
For Registered Nurses to upload Monthly MARS
