TX HHS Form 2324. First Level Appeal of Provider Investigation Finding

The TX HHS Form 2324: First Level Appeal of Provider Investigation Finding is a crucial document that helps providers resolve issues related to an investigation finding by the Texas Health and Human Services (HHS) Provider Investigations program. This form enables providers to request an appeal of the investigation finding, providing them with a formal mechanism to address any concerns or disputes.

To initiate the appeal process, providers must complete this form and include their reason for appealing the investigation finding. The required information includes the provider's name or type, the person receiving services, the allegation and finding of appeal, and IMPACT case number. Additionally, providers must submit a final HHSC PI case report, including exhibits and video surveillance, as well as any relevant information that may not have been considered in the investigation.

The form should be used when a provider wants to challenge an investigation finding by the HHS Provider Investigations program. The appeal request must include all required information and supporting documentation. Failure to submit all necessary materials may delay the review of the investigation. Providers can submit their appeal requests electronically to PI [email protected] or mail them to HHSC Provider Investigations Appeals at 14000 Summit Dr., Ste. 100, Mail Code: 0165, Austin, Texas 78728.