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| | Addendum to Form 2060 for Personal Assistance Services |
 | | The case manager may update an existing Form 2060-A by drawing a line through the information to be changed, entering the new information, writing his initials and date by the change. |
 | | The HCSS agency RN completing the pre-enrollment and assessment must review Form 2060 and Form 2060-A sent with Form 3676, Pre-Enrollment Home Health Assessment Authorization, to the agency when the assessment is authorized. |
 | | After completing the assessment, the RN should sign Form 2060-A to indicate agreement with the PAS services listed, or complete Form 2067, Case Information, identifying the changes needed to the PAS service plan, and send Form 2060-A or Form 2067 to the case manager along with the rest of the pre-enrollment assessment packet. |
| www.dads.state.tx.us /handbooks/instr/2000/F2060-A (1936 words) |
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