TX HHS Form 6004. Texas Provider Marketing

The Texas Provider Marketing Form 6004 is a crucial document that helps solve the problem of ensuring compliance with marketing regulations for healthcare providers. This form is typically used by healthcare providers who need to submit their marketing materials for approval from HHSC (Texas Health and Human Services). The form is designed to collect essential information about the provider's marketing efforts, including whether the marketing has been previously submitted and approved.

The form requires the provider to indicate if they have previously submitted and received approval for their marketing. If so, it must be noted that HHSC's approval does not extend to any deviations or modifications made to the marketing after approval. The form also emphasizes that HHSC's approval is limited to the specific marketing materials submitted and does not extend to future provider marketing.

Key features of this form include:

• The requirement to indicate if previous marketing submissions have been approved
• The limitation of HHSC's approval to the specific marketing materials submitted, with no extension to deviations or modifications made after approval
• The understanding that HHSC's approval does not extend to future provider marketing