TX HHS Form 2437. Notification of Nursing Facility Admission of Individual Under Age 22

The TX HHS Form 2437, Notification of Nursing Facility Admission of Individual Under Age 22, is a crucial document that helps solve the problem of timely notification for nursing facilities admitting minors. This form is typically used by nursing facilities to report the admission of individuals under the age of 22 to the Texas Health and Human Services (HHS) within three days.

The form requires essential information about the individual, including their name, date of birth, admission date, anticipated discharge date, Medicaid number, and Social Security number. Additionally, it asks if the person has a current diagnosis of an intellectual or developmental disability, along with details on any needs for personal care, communicating, learning, or walking assistance.

By completing this form, nursing facilities demonstrate their compliance with Texas HHS regulations. The form also provides a means to report family contact information for the individual, including parent or guardian name(s), address, city, state, and ZIP code, as well as area code and phone number. Key points to note include:

• Nursing facilities must notify Texas HHS within three days of admitting an individual under age 22.
• The form requires specific information about the individual being admitted.
• Completion of this form ensures compliance with Texas HHS regulations.