TX HHS Form 5989. Contract Monitoring Entrance Conference

The TX HHS Form 5989, Contract Monitoring Entrance Conference, is a crucial document used to initiate contract monitoring for health and human services providers in Texas. This form helps ensure that contractors are compliant with applicable provisions of the contract rules, thereby maintaining the quality of services provided.

This form requires essential information such as the name of the legal entity, taxpayer identification number, federal employer identification number, and dates of monitoring period. The review type can be formal, intermittent, informal, or close out, depending on the nature of the review. The form also asks for the contract number(s), provider number(s), and contract status.

The TX HHS Form 5989 is typically used when initiating a contract monitoring process to ensure compliance with contract rules. It is essential for contractors to maintain accurate records of their monitoring activities, including subcontractor information if applicable. This form helps streamline the review process by providing a standardized format for collecting required information.