TX HHS Form 5005. What to Expect During Your Agency's Survey (HCSSA)

The TX HHS Form 5005, "What to Expect During Your Agency's Survey (HCSSA)", is a crucial document for Home and Community Support Services Agencies (HCSSA) in Texas. This form helps agencies prepare for surveys by providing a clear understanding of the initial, recertification, and follow-up survey process.

The survey process begins with an entrance conference, where the surveyor explains the process and reviews key information such as clinical records, patient home visits, and agency systems. The surveyor will also review administrative records, complaint tracking system, quality assurance plan, policies and procedures, and employee files and qualifications. Throughout the survey, the surveyor will communicate openly with agency representatives and require copies of reviewed documentation.

The survey concludes with an exit conference, where the surveyor provides a list of preliminary findings to designated agency staff. If additional violations or deficiencies are identified after the survey, the surveyor will return for an additional face-to-face exit conference. The official notification of survey findings is mailed to the agency within 10 working days, and if violations are cited, the agency must submit a plan of correction (PoC) within 10 calendar days.

• Initial, recertification, and follow-up surveys for HCSSA agencies in Texas
• Required information includes clinical records, patient home visits, and agency systems
• Survey process involves entrance conference, on-site review, and exit conference
• Preliminary findings are reviewed with agency staff during the exit conference
• A plan of correction (PoC) is required if violations are cited