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  1. To get that form, call 2-1-1 (after you pick a language, press 2). Or apply online at www.YourTexasBenefits.com. To apply for other state benefits Report waste, fraud, and abuse. If you are approved to get Medicaid, another state agency, the Department of Aging and Disability Services (DADS), might help with your case. DADS staff will find out what

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  7. Form 4122 May 2022-E. Home and Community-based Services . Host Home/Companion Care Service Delivery Log. Individual Name (First, Last) Location. Local Case No. Week Of At the end of the day, initial all items that you completed with the individual. If there were any incidents, concerns or special events, document on the bottom of the form ...

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