TX HHS Form 8204. Subcontractor Credentialing Attestation Form

The TX HHS Form 8204, Subcontractor Credentialing Attestation Form, is a crucial document that helps ensure the credibility of subcontractors working with adult mental health services in Texas. This form is typically used by provider agencies entering into a subcontracting relationship to verify that their subcontractors have met all necessary contracting requirements.

The form requires the subcontractor's name and title, as well as the date they were hired and began providing services. It also demands that the subcontractor attest to having met initial credentialing requirements, including annual fingerprint-based criminal history checks, personnel reference checks, training completion, certification records, and professional licensure or registration.

The form emphasizes the importance of ongoing contracting requirements, including credentialing, which must be maintained by the provider agency. The form also stipulates that the subcontractor's information will be kept on file and made available to Texas Health and Human Services (HHS) staff upon request. Key points to note include:

• Initial credentialing requirements for subcontractors
• Ongoing contracting requirements, including credentialing
• Maintenance of documentation verifying contracting requirements
• Availability of subcontractor information to HHS staff upon request