TX HHS Form 2097. Provider Contract Assignment Notification

The Texas Health and Human Services (HHS) issues Provider Contract Assignment Notification Form 2097 to inform providers of changes to their contracts. This form serves as a notification mechanism for providers who have undergone changes in ownership or licensure, resulting in updates to their contract numbers.

This change may affect the provider's name and contract number on your service plan, which may be reflected in a new contract number. As a result, you may choose to continue receiving services from the assigned provider or select a different one. You retain the right to change providers at any time, and this form provides an opportunity for you to make informed decisions about your program or services.

If you have questions or require more information about the changes to your provider's contract, please contact the HHSC Case Worker listed on the form. The provided phone number is available for your convenience. By understanding these changes, you can ensure a seamless continuation of your services and make informed decisions about your program or services.