TX HHS Form 3044. Home and Community Based Services Adult Mental Health (HCBS-AMH) Settings Checklist

The TX HHS Form 3044, Home and Community Based Services Adult Mental Health (HCBS-AMH) Settings Checklist, is a practical tool used to ensure compliance with adult mental health settings in Texas. This biennial report helps identify potential concerns or heightened scrutiny situations that may require follow-up actions.

The form requires providers to submit information about their setting, including provider agency details, type of setting (e.g., supervised living, assisted living), and number of participants. Key features include questions about the setting's physical characteristics, such as whether it meets the 4:1 ratio of residents to staff, and whether it is located in an isolated or rural area.

• The form is used by providers to report on their adult mental health settings biennially.
• It helps identify potential concerns or heightened scrutiny situations that may require follow-up actions.