TX HHS Form 2327. Individual or Member and Provider Agreement

TX HHS Form 2327. Individual or Member and Provider Agreement

The TX HHS Form 2327, Individual or Member and Provider Agreement, is a crucial document that helps facilitate the provision of Adult Foster Care (AFC) services to aged and disabled adults. This form outlines the rights and responsibilities of both the individual/member and the provider, ensuring a mutually beneficial arrangement.

The agreement requires the provider to comply with minimum standards for AFC, provide authorized services, and arrange transportation for the individual/member as needed. The provider must also allow HHSC/MCO representatives to monitor or inspect their home at reasonable hours and reimburse the individual/member for any unused room and board days within 30 days of departure.

This form is typically used in situations where an individual requires supportive care in a private residence, but does not require extensive nursing care. The agreement emphasizes the importance of respecting the individual's right to privacy, including the ability to send and receive mail, have personal telephone conversations, and visit outside the home. Key points to note include:

  • The provider must comply with minimum standards for Adult Foster Care.
  • The provider must provide authorized services according to Form 2101 and Form 2330.
  • The individual/member has a right to privacy, including the ability to send and receive mail and have personal telephone conversations.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/2000-2999/form-2327-individual-or-member-provider-agreement