TX HHS Form 3202. Application to Operate or Close a Faith-Based Chemical Dependency Treatment

The TX HHS Form 3202, Application to Operate or Close a Faith-Based Chemical Dependency Treatment, is a crucial document for faith-based organizations seeking exemption from licensure under Texas Health and Human Services Commission (HHSC) regulations. This form helps solve the problem of registering a faith-based chemical dependency treatment program with HHSC, ensuring compliance with state laws and regulations.

The form requires essential information about the organization, authorized representative, and director, including name, assumed name, federal tax ID number, mailing address, and phone number. Key conditions for exemption include the program being conducted by a religious organization, remaining exclusively religious in nature, not treating minors, and complying with advertising and admission requirements. The authorized representative must also attest to understanding and agreeing to meet these requirements and notify HHSC of any changes affecting the exemption.

To complete the application, organizations must submit Form 3202 along with a copy of their IRS determination letter documenting tax-exempt status or articles of incorporation showing the primary purpose of the organization is the propagation of religious beliefs. The form can be submitted electronically through GovDelivery or by mail to the Texas Health and Human Services Commission's Health Facility Licensing Unit. By using this form, faith-based organizations can ensure compliance with HHSC regulations and maintain their exemption from licensure.

• The application is used by faith-based chemical dependency treatment programs seeking exemption from licensure under Texas Health and Human Services Commission (HHSC) regulations.
• The form requires essential information about the organization, authorized representative, and director.
• The program must be conducted by a religious organization, remain exclusively religious in nature, not treat minors, and comply with advertising and admission requirements to qualify for exemption.