In the realm of healthcare and medical equipment provision for individuals living with disabilities, the Form 4116-DME emerges as a pivotal document within Texas. Released in August 2007 by the Texas Department of Aging and Disability Services, this form plays an essential role in summarizing durable medical equipment (DME) services provided to clients residing in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). It meticulously records details such as the facility name, billing month, contract number, and client-specific information including their Medicaid number and the durable medical equipment required. Each entry captures the DME's year and the financial aspects, including the begin date, cost, and the total annual cost alongside year-to-date expenditures. Furthermore, it encompasses a checklist for providers, ensuring that bids and receipts are accounted for, alongside necessary contact information for effective communication. This comprehensive document ensures that the procurement and financing of essential medical equipment are conducted transparently and efficiently, highlighting its importance in the administration of care for those with disabilities.
| Question | Answer |
|---|---|
| Form Name | Form 4116 Dme |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | what is form 4116 a, form 4116 a 2020, is 4116 a real tax form, form 4116 |
