TX HHS Form 3648. DAHS Informal Dispute Resolution (IDR) Request

The TX HHS Form 3648, DAHS Informal Dispute Resolution (IDR) Request, is a crucial document for Day Activity and Health Services (DAHS) facilities to request an IDR. This form helps resolve disputes related to survey findings, ensuring that facilities can correct any violations cited and maintain compliance with regulations.

To use this form, DAHS facilities must complete it and submit two copies along with supporting documentation within 10 calendar days of receiving official written notification of survey findings. The facility must also specify the A-tags they wish to dispute, providing a clear plan for correction. If the region did not recommend adverse action, the facility should request an IDR from the Regional Survey Office (RSO). In cases where the region recommended adverse action, the facility may choose to request an IDR from either the RSO or the Community Supports and Integration Enforcement.

Key features of this form include the required information, such as the facility's name, administrator's signature, and date received. The form also highlights important sections, like the A-tags to be disputed, which must be listed with supporting documentation. This form is essential for DAHS facilities to address survey findings and maintain compliance with regulations.