TX HHS Form 2407. Informal Dispute Resolution (IDR) Request

The TX HHS Form 2407, Informal Dispute Resolution (IDR) Request, is a crucial document for home and community support services agencies (HCSSAs) to request an IDR. This form helps resolve disputes related to survey findings, ensuring that agencies can correct deficiencies or violations in a timely manner.

To submit an IDR request, HCSSAs must complete Form 2407 within 10 calendar days of receiving official written notification of survey findings. The completed form must be postmarked, faxed, or emailed, and the rebuttal letter and supporting documentation must be received by the HCSSA Enforcement unit within seven calendar days. A copy of the completed IDR request form, rebuttal letter, and supporting documentation is required to be submitted to the agency's designated survey office.

Key features of this form include the requirement for a plan of correction in response to an official written notification of survey findings that declares a deficiency or violation. The form also includes space for listing disputed tags (G-tags, L-tags, or Z-tags) and requires submission by the agency representative with their print name, title, signature, and date. By using this form, HCSSAs can ensure compliance with regulatory requirements and resolve disputes in a timely and efficient manner.

• The form is used by home and community support services agencies (HCSSAs) to request an Informal Dispute Resolution (IDR).
• The completed form must be submitted within 10 calendar days of receiving official written notification of survey findings.
• A plan of correction is required in response to an official written notification of survey findings that declares a deficiency or violation.