TX HHS Form 5012. Contract Monitoring Visit Summary Report

The TX HHS Form 5012, Contract Monitoring Visit Summary Report, is a valuable tool for monitoring the performance of guardianship programs under contract with Texas Health and Human Services (HHS). This form helps ensure that these programs are meeting their contractual obligations and providing quality services to clients. The report summarizes the findings from regular visits to program sites, identifying areas of strength and weakness.

The report requires information on the type of review conducted, the date(s) of the review, and the period covered by the visit. It also includes space for recording deficiencies cited during the review, as well as attendance at entrance/exit conferences with program staff. The form emphasizes the importance of documenting observations and interviews conducted during the visit.

The TX HHS Form 5012 is typically used by program monitors to track progress and identify areas that require improvement. Key features include:

• Required information on review type, date(s), and period
• Space for recording deficiencies and attendance at conferences
• Emphasis on documenting observations and interviews