TX HHS Form 2030. Information Worksheet Purchase of Service Contract (CMPAS)

The TX HHS Form 2030 is an Information Worksheet Purchase of Service Contract for Consumer Managed Personal Attendant Services (CMPAS), issued by the Texas Health and Human Services (HHS). This form serves as a comprehensive guide for contractors to provide essential information about their organization, including legal entity details, contact persons, and summary of payment. The purpose of this form is to facilitate the purchase of service contract process between HHS and contractors, ensuring a smooth and efficient delivery of CMPAS services.

The form consists of four sections: Legal Entity Information, Summary of Payment, Service Program Activity, and Individual Information. In the first section, contractors must provide their legal entity details, including name, doing business as (d/b/a) name, contract termination date, mailing address, and contact information. The second section requires an estimate of payment for the fiscal year, with a total reimbursement amount not exceeding the estimated contract total. Any over expenditures will be the sole responsibility of the contract agency.

The TX HHS Form 2030 is designed to provide a clear understanding of the CMPAS program and services offered by contractors. By completing this form, contractors can demonstrate their ability to deliver high-quality services to individuals in need. As an essential tool for the purchase of service contract process, this form ensures that all necessary information is provided, enabling HHS to make informed decisions about CMPAS funding and service delivery.