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Form 4116-MHM-AA, Minor Home Modification/Adaptive Aids Summary Sheet
... to request reimbursement authorization for payment for minor home modifications and adaptive aids. Procedure The same ... and any combination of adaptive aids and minor home modifications on the summary sheet. Multiple requests for ... for which the program ...

Section 2000, Case Management
... be retained. Applications are part of the Code of Federal Regulations (CFR) maintenance of record requirements and must be added to the ... Recovery Program (MERP) in compliance with federal Medicaid laws. The Texas Health and Human Services Commission (HHSC) manages the ...