The Texas Department of Aging and Disability Services (DADS) is re-issuing this letter to update contact information.
DADS has implemented revised forms 3736, 3720-N and 3720, which incorporate changes to disclosure items 8, 9, and 10 respectively. Revised forms and instructions are available on the DADS website at: www.dads.state.tx.us/forms/
Item 8 on form 3736, item 9 on form 3720N, and item 10 on form 3720 have been updated as follows:
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Attachments will be permitted as a response to the Disclosure of Facility/Agency Association section or in response to any disclosure question A-P if all requested data is clearly identified in the submitted documentation and the applicable section of the application is annotated, “see attached document.”
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Questions E, F, G, H, I and J are now five-year disclosure questions requiring responses for only the five years immediately preceding the date of the application.
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Question E has been reworded to more clearly indicate that the civil damages and law- suits referenced are those associated with malpractice, wrongful death, or other “care- related” issues.
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Question K has been reworded to more clearly indicate that the judgments and lawsuits referenced are those related to “slips and falls” or other “employment related” issues and only those judgments or settlements that are unpaid or outstanding need to be reported.
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