TX HHS Form 3037.Good Faith Effort

The TX HHS Form 3037, Good Faith Effort, is a crucial document for HCBS-AMH Provider Agencies in Texas. This form helps solve the problem of identifying critical services that cannot be secured directly or through subcontracting, which is essential for maintaining successful placement in the community.

This form requires HCBS-AMH Providers to list the service(s) and reason(s) they are unable to secure, along with justification for the clinical need. The provider must also document all outreach and recruitment efforts made to establish and maintain a comprehensive service array. A chart is provided for each missing critical service identified, requiring at least three good faith efforts.

The Good Faith Effort form serves as a tool for HCBS-AMH Provider Agencies to demonstrate their ongoing efforts to secure services they are unable to provide. By completing this form, providers can ensure that they have made reasonable attempts to secure necessary services and maintain successful placement in the community. Key points to note include:

• The form is used by HCBS-AMH Provider Agencies in Texas.
• It requires documentation of all outreach and recruitment efforts.
• A minimum of three good faith efforts must be demonstrated for each missing critical service.