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

The Texas Health and Human Services (HHS) Form 2031-G serves as a designation for authorized individuals representing governmental entities. This form confirms the authority of designated individuals to negotiate contracts with the HHS Commission and execute contracts on behalf of the entity.

The form requires the governmental entity to provide its name, doing business as (d/b/a), if applicable, and one of the following identifiers: Taxpayer Identification Number (EIN or SSN), Provider Identifier Number (NPI or API). The designated individuals are granted authority to implement, maintain, amend, renew, or request closure of contracts. Any changes to authorized individuals must be notified to HHS by completing and submitting a revised version of this form.

This form is essential for governmental entities seeking to conduct business with the Texas Health and Human Services Commission. By designating authorized individuals, these entities can ensure seamless contract management and compliance with HHS requirements. The form also serves as a record of the entity's authorized representatives, providing transparency and accountability in their dealings with HHS.