TX HHS Form 2720. Certification of Need for Highly Restrictive Procedure

The TX HHS Form 2720, Certification of Need for Highly Restrictive Procedure, is a crucial document that helps address the needs of individuals exhibiting maladaptive behaviors. This form is typically used in situations where previous therapeutic interventions have been ineffective, and a highly restrictive procedure is proposed to address these behaviors.

The form requires information from a psychiatrist, psychologist, psychological associate, or Board Certified Behavior Analyst (BCBA), including their name, office details, and fax number. The practitioner must indicate the characteristics and maladaptive behaviors that necessitate programmatic intervention, as well as any previous therapeutic interventions attempted and their outcomes. Additionally, the form asks about the proposed highly restrictive procedure, including whether a plan was developed to implement it.

This certification of need helps ensure that individuals receive appropriate treatment for their complex behavioral needs. By completing this form, practitioners can demonstrate the necessity of a highly restrictive procedure and provide critical information for program development and implementation. Key points to note include:

• The form is used when previous therapeutic interventions have been ineffective.
• A psychiatrist, psychologist, psychological associate, or BCBA must complete the form.
• The practitioner must indicate the characteristics and maladaptive behaviors that require programmatic intervention.