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

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 or disagreements with survey findings that declare deficiencies or violations.

The completed form must be submitted within 10 calendar days of receiving official written notification of the survey findings. The rebuttal letter and supporting documentation must be received by the HCSSA Enforcement unit within seven calendar days, or the following working day if the seventh calendar day falls on a weekend or legal holiday. A copy of the completed IDR request form, rebuttal letter, and supporting documentation must also be submitted to the agency's designated survey office.

Key features of this form include listing disputed tags (G-tags, L-tags, or Z-tags) and providing required information such as agency owner, administrator, area code and phone number, fax area code and number, and survey exit date. The form must be submitted to Texas Health and Human Services Regulatory Services Division Home and Community Support Services Agencies within the specified time frames to avoid denial of the IDR request.