TX HHS Form 3070. Day Activity and Health Services Notification of Critical Omissions

The TX HHS Form 3070, Day Activity and Health Services Notification of Critical Omissions, is a crucial document that helps identify and address critical errors or omissions in the documentation submitted by agencies for prior approval of individuals participating in day activity and health services (DAHS). This form is typically used when an agency submits incomplete or inaccurate information, which may impact the individual's eligibility for DAHS.

The form highlights key areas that require attention, including missing or incomplete forms such as Form 3050, DAHS Health Assessment/Individual Service Plan, and Form 3055, Physician's Orders (DAHS). The document also emphasizes the importance of accurate and complete information, noting that omissions or errors may impact the individual's medical eligibility criteria, functional need, or therapeutic benefit from DAHS. Additionally, the form specifies the necessary corrections and resubmission requirements.

To ensure compliance with the regulations, it is essential to carefully review and correct any critical omissions or errors in the submitted documentation. The corrected documentation must be postmarked or date-stamped by the Texas Health and Human Services Commission within a specified timeframe. Key points to note include:

• The form is used to identify and address critical errors or omissions in DAHS documentation.
• Form 3050, DAHS Health Assessment/Individual Service Plan, must be completed and submitted with the individual's information.
• Form 3055, Physician's Orders (DAHS), must include the physician's signature, date, and license number or DO credential.