TX HHS Form 2940. Request for an Administrative Review

The Texas Health and Human Services Commission's Form 2940, Request for an Administrative Review, is a crucial tool for individuals seeking to dispute a decision or action made by the agency. This form helps resolve disputes in a fair and efficient manner, ensuring that all parties are treated equally and that the review process is transparent.

This form is used in situations where an individual or organization feels that a decision or action taken by HHSC was inappropriate or unjust. The requestor must provide specific information about the decision or action being disputed, including the date of notification and any relevant documentation. Key features of this form include the required information for the operation and requestor, as well as the opportunity to attach supporting documents.

When completing Form 2940, it is essential to follow the instructions carefully and provide all necessary information. The requestor must also explain why they are disputing the decision or action and describe any reasons why the decision should not be upheld. By following these guidelines, individuals can ensure that their request for an administrative review is processed efficiently and effectively.

• This form is used to dispute a decision or action made by HHSC.
• The requestor must provide specific information about the decision or action being disputed.
• Supporting documentation can be attached to the form.