24 May 2018 Pro XJ-H1700. 4,000 lumens; Low-maintenance and cost-effective; Direct ON/OFF. Lampfree. Find dealers · Distance calculator · Cost ii v 2016 0411. LTC Community Services Waiver Programs User Guide ments and H1700-1 HCBS STAR+PLUS Waiver Individual Service Plan (ISP) forms. 11 Jun 20122. Contents. 3. 1. Introduction. 3. 1.1. Purpose of the technical guide. 3. 1.2. General H=2000. H=1700. H=2000. Standard busbars. 2. Typical UniSec units Some models covered by this User's Guide may not be available in certain geographic . 2. Unplug the projector. 3. Contact your original dealer or authorized. Texas Health and Human Services Commission Form H1700-2 December 2012 Individual Service Plan/Plan Individual de Servicios 1. Applicant/Member Name 2. Medicaid Number or SSN — Enter the nine-digit Medicaid number, as entered on Form H1700-1. If the applicant or member does not have a Medicaid 26 Nov 2012 document the applicant's/member's or authorized representative’s acceptance of the individual service plan (ISP); and. The MCO keeps Form H1700-2 according to the retention requirements found in all Medicaid Managed Care contracts and federal regulations. Applicant/Member Name XJ-H1700Specifications Wireless remote controller / AC power cord / RGB cable / Instruction manual (on CD-ROM)*4 RCA x 1 (R/L), Stereo mini-jack x 2.