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 used to notify the Texas Health and Human Services (HHS) about the admission of an individual under the age of 22 into a nursing facility. This form helps solve the problem of ensuring timely notification of minor admissions, as mandated by law.

The form requires essential information about the person being admitted, including their full name, date of birth, admission and anticipated discharge dates, Medicaid number, social security number, and current diagnosis of an intellectual or developmental disability. Additionally, it seeks details on the individual's needs for personal care, communicating, learning, and walking assistance.

This form should be used by nursing facilities when admitting a person under the age of 22. The facility must notify HHS by fax within three days of admission, providing the required information to ensure compliance with regulations. By completing this form, nursing facilities can demonstrate their commitment to transparency and adherence to state guidelines.