Terms of service

By submitting this request form, you confirm that the information above is acurate and true.  You acknowledge that the alternative device is required by the Cures Act when servicing your Medicaid members and each device will be accurately linked to each member for intended use. 

HHSC intends to reduce the use of alternative devices in the future.  I understand that HHSC may change policies regarding alternative devices that may reduce my use of alternative devices.