TX HHS Form 1402. Value-Based Agreement Concept

The TX HHS Form 1402, Value-Based Agreement Concept, is a crucial document for vendors seeking to propose new or existing drug/products for consideration by the Texas Health and Human Services Commission (HHSC). This form helps solve the problem of ensuring that proposed treatments meet specific criteria and are properly evaluated. Typically, this form is used by vendors who need to submit their concepts prior to requesting a meeting with HHSC.

The key features of this form include required information such as supporting clinical trial data, publications, or other related evidence-based clinical practice, which must be submitted as PDF attachments. The form also outlines specific conditions and responsibilities, such as providing a brief description of the treatment regimen, procedure, or drug/product covered by the concept, and indicating whether the drug/product is approved by the U.S. Food and Drug Administration (FDA). Additionally, vendors must provide information on current alternative treatment regimens, procedures, or drugs/products, as well as patient populations covered by the concept.

To ensure successful submission of a value-based agreement concept, vendors should carefully review the form's instructions and requirements. Key points to keep in mind include:

• Submitting supporting clinical trial data, publications, or other related evidence-based clinical practice
• Providing a brief description of the treatment regimen, procedure, or drug/product covered by the concept
• Indicating whether the drug/product is approved by the FDA and providing relevant information if applicable
• Describing current alternative treatment regimens, procedures, or drugs/products
• Identifying patient populations covered by the concept