TX HHS Form 3214. Chemical Dependency Treatment Facility Satellite Site Notification

The TX HHS Form 3214, Chemical Dependency Treatment Facility Satellite Site Notification, helps chemical dependency treatment facilities (CDTFs) comply with licensing requirements by notifying the Texas Health and Human Services Commission (HHS) of satellite site operations. This form is used to report the establishment or closure of a satellite site, ensuring that services are provided under the supervision of a licensed outpatient care facility.

The form requires key information about the satellite site, including its physical address, setting, treatment population, and total outpatient slots. Additionally, it outlines conditions for operating a satellite site, such as maintaining full responsibility for services provided and ensuring compliance with fire safety inspections and accessibility standards. The form also emphasizes the importance of updating HHS in the event of any changes to the satellite site's information.

Key points to note include:

• The form is used by CDTFs to notify HHS of satellite site operations or closures.
• The form requires information about the satellite site, including its physical address and treatment population.
• The form outlines conditions for operating a satellite site, including fire safety inspections and accessibility standards.
• Facilities must update HHS in the event of any changes to the satellite site's information.