TX HHS Form 2020. Notification of Readiness for Initial Survey

TX HHS Form 2020. Notification of Readiness for Initial Survey

The TX HHS Form 2020: Notification of Readiness for Initial Survey is a crucial document that helps solve the problem of ensuring agencies are prepared for their initial licensure survey. This form is typically used by Home and Community Support Services Agencies (HCSSA) to notify the Regional Program Manager of their readiness for an initial survey.

The form requires agencies to provide specific information, including their name, license issuance date, agency address, days and hours of operation, area code and phone number, fax area code and number, administrator, supervising nurse (if applicable), and alternate administrator and supervising nurse (if applicable). Additionally, the form specifies conditions for requesting an initial licensure survey, such as admitting clients and providing services within six months of the effective date of the initial license.

Key features of this form include the requirement to submit it to the designated survey office no later than six months after the effective date of the initial license. The form also highlights the importance of retaining a copy for records. By completing and submitting this form, agencies can demonstrate their readiness for an initial licensure survey and ensure compliance with Texas regulations.

  • The form is used by HCSSA agencies to notify the Regional Program Manager of their readiness for an initial licensure survey.
  • Agencies must submit the form no later than six months after the effective date of the initial license.
  • The form requires specific information, including agency name, license issuance date, and contact details.
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https://www.hhs.texas.gov/regulations/forms/2000-2999/form-2020-notification-readiness-initial-survey