Form 3645, Monthly Medicaid Occupancy Report

Availability

Form 3645 is no longer available.  Please refer to the new Medicaid Occupancy Reporting portal and instructions to enter occupancy data.

Reporting portal: https://hhsportal.hhs.state.tx.us/MedOccupancy/public/FacilityMain.faces
Instructions: http://www.dads.state.tx.us/providers/NF/med-occupancy-instructions.html

 

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