TX HHS Form 2031. Designation of Authorized Individual(s) - Business Entity

TX HHS Form 2031. Designation of Authorized Individual(s) - Business Entity

The TX HHS Form 2031, Designation of Authorized Individual(s) - Business Entity, is a crucial document for businesses that need to authorize specific individuals to negotiate contracts with the Texas Health and Human Services Commission (HHSC). This form helps solve the problem of ensuring that authorized representatives have the necessary authority to act on behalf of the business entity.

The form requires the business entity to provide its name, doing business as (DBA) if applicable, and one of the following identifiers: taxpayer identification number (EIN or SSN), provider identifier number (NPI or API). The authorized individual(s) must be identified, along with their responsibilities, which include negotiating contracts, executing contracts, implementing, maintaining, amending, renewing, or requesting closure of contract(s). The business entity is also responsible for notifying HHSC if it wishes to change the authorized individuals.

This form is typically used by businesses that need to establish a formal relationship with the Texas Health and Human Services Commission. Key features include the requirement for the business entity's name and identifier, as well as the identification of authorized individual(s) and their responsibilities. The following are key points to consider:

  • The form is used by businesses that need to authorize specific individuals to negotiate contracts with HHSC.
  • The business entity must provide its name and one of the required identifiers.
  • The authorized individual(s) must be identified, along with their responsibilities.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/2000-2999/form-2031-designation-authorized-individuals-business-entity