TX HHS Form 2020-A. Notification of Readiness for a Health Survey of a Hospice Inpatient Unit

The Texas Health and Human Services (HHS) Form 2020-A, "Notification of Readiness for a Health Survey of a Hospice Inpatient Unit," is a mandatory document used by hospice agencies to request an initial health survey of their inpatient unit. This form is designed for Home and Community Support Services Agencies (HCSSA) that have been issued an initial license for an alternate delivery site with an inpatient unit.

The purpose of this form is to notify the designated survey office of the agency's readiness for a health survey, which is required after admitting at least one client and providing hospice inpatient services. The form must be completed carefully, including information about the agency, its inpatient unit, and a minimum of one patient. This information includes agency name, license issuance date, inpatient unit address, days and hours of operation, and contact details.

This notification form is essential for ensuring compliance with Texas regulations and maintaining the quality of care provided by hospice agencies. By submitting this form, agencies demonstrate their readiness for a health survey, which helps to ensure that patients receive high-quality care in a safe and regulated environment. The issuing agency, HHS, provides guidance on the completion and submission of this form through its website.