TX HHS Form 8203. Subcontractor Attestation Form

Form 8203 is an official attestation used in Texas within the Adult Mental Health E-Health and Community Based Services system. This form is completed by a provider agency that enters into a subcontracting relationship and serves as a formal confirmation that all contractual and regulatory requirements established by the Texas Health and Human Services Commission (HHSC) have been met and will continue to be maintained.

The form itself is not submitted routinely to HHSC but must be kept on file by the provider agency and made available for review upon request. It plays an important role in compliance audits and contract oversight.

Purpose of Form 8203

The main purpose of Form 8203 is to document that a provider agency has properly vetted a subcontractor and confirmed compliance with HHSC contracting requirements before allowing that subcontractor to deliver Adult Mental Health services.

This attestation protects both HHSC and the provider agency by creating a written record that contractual obligations were reviewed, satisfied, and are being actively monitored.

Who Must Complete This Form

Form 8203 is completed by the provider agency that holds a contract with HHSC and enters into a subcontracting relationship. It is not completed by the subcontractor themselves.

The form must be signed by an individual who is authorized to act on behalf of the provider agency, such as an executive director, administrator, or compliance officer.

When This Form Is Required

This form is required when a provider agency:

• Hires a new subcontractor to deliver Adult Mental Health services
• Begins service delivery through a subcontractor under an existing HHSC contract
• Needs to document compliance for internal records or future HHSC reviews

The form is not required for internal employees or when no subcontracting relationship exists.

Explanation of Key Sections

Provider and Subcontractor Information

This section identifies the legal name of the provider agency, the subcontractor’s name, the date the subcontractor was hired, and the date services began. Accurate dates are important for demonstrating that compliance requirements were met before service delivery.

Contracting Requirements Attestation

In this section, the provider agency formally attests that all HHSC contracting requirements have been met. This includes credentialing, background checks, and any other conditions specified in the provider’s HHSC contract.

Ongoing Compliance Statement

The provider agency confirms it will continue to maintain compliance throughout the subcontractor’s engagement, not just at the start of the relationship.

Authorization and Signature

The form must be signed and dated by an authorized representative of the provider agency. Signing confirms the accuracy of the information and the authority of the signer.

Legal and Regulatory Context

Form 8203 is governed by HHSC contracting rules for Adult Mental Health and community-based services. These rules require provider agencies to maintain oversight of subcontractors and ensure that all service delivery meets state standards.

Failure to maintain this documentation or allowing a subcontractor to operate without meeting requirements may result in contract findings, corrective action plans, or potential contract termination.

Practical Tips for Completing the Form

• Complete the form before or immediately when a subcontractor begins providing services
• Verify all subcontractor compliance documentation is complete before signing
• Use exact legal names for both provider and subcontractor
• Keep the signed form in a secure compliance or personnel file
• Review and update documentation regularly to ensure ongoing compliance

Common Mistakes to Avoid

• Signing the form before verifying subcontractor compliance
• Using informal or abbreviated business names
• Failing to keep the form on file for audit purposes
• Allowing unauthorized staff to sign the attestation
• Not updating records when subcontractor roles or services change

Real-Life Use Examples

• A mental health provider contracts with an independent clinician to deliver telehealth services and completes Form 8203 before services begin.
• A community-based organization adds a subcontractor to expand Adult Mental Health coverage in rural areas and documents compliance using this form.
• A provider agency prepares for an HHSC audit and relies on Form 8203 to demonstrate subcontractor oversight.

Documents Commonly Kept with This Form

• Subcontractor agreement or contract
• Credentialing and licensing records
• Background check documentation
• Training and compliance certifications
• HHSC contract requirements checklist

Frequently Asked Questions

Is Form 8203 submitted to HHSC?

No. The form is maintained by the provider agency and provided to HHSC only upon request.

Does the subcontractor sign this form?

No. Only an authorized representative of the provider agency signs the attestation.

Is this form required for every subcontractor?

Yes, each subcontractor providing Adult Mental Health services should have a completed Form 8203 on file.

What happens if the form is missing?

Missing documentation may result in audit findings or compliance action by HHSC.

Can the form be completed electronically?

Yes, as long as it is properly signed and stored according to agency recordkeeping policies.

Related Forms and Documents

• HHSC Provider Contract Agreements
• Subcontractor Compliance Checklists
• Adult Mental Health Service Authorization Forms
• HHSC Audit and Review Documentation

Form Details

• Form Name: E-Health and Community Based Services – Adult Mental Health Subcontractor Attestation
• Form Number: 8203
• State: Texas
• Issuing Authority: Texas Health and Human Services Commission (HHSC)
• Revision Date: October 2022