TX HHS Form 3006. No Reject Appeals

The TX HHS Form 3006, "No Reject Appeals," is a crucial document for healthcare providers in the Adult Mental Health (HCBS-AMH) Program. This form helps resolve disputes by providing a clear justification for denying services to an individual. It is typically used when a provider cannot support an individual's needs in the community.

The form requires essential information, including the individual's name, CARE ID number, date of birth, and current state hospital of residence. The HCBS-AMH Provider must provide a summary outlining the reason(s) for denying services, along with their signature and date. Additionally, the Recovery Manager Entity is responsible for signing and dating the form.

This document serves as a vital tool for healthcare providers to communicate effectively with the Adult Mental Health (HCBS-AMH) Program. Key points to note include:

• The form is used when a provider cannot support an individual's needs in the community.
• It requires essential information about the individual, including their name and CARE ID number.
• The HCBS-AMH Provider must provide a summary outlining the reason(s) for denying services.