Managed Care Quality Assurance Other Forms
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TDI Form Number | Description | File Format | Language |
---|---|---|---|
FIN306 |
Complete Listing of all Current Officers and Directors |
English | |
LHL658 | English | ||
LHL707 | English | ||
LHL715 |
Provider Network Contracting Entity Registration and Exemption of Affiliates Form PNCE Registration and Exemption Form |
English | |
LHL716 |
Health Maintenance Organization Annual Network Adequacy Report and Access Plan Checklist |
English | |
LHL719 | English |
For more information, contact: MCQA@tdi.texas.gov