TX HHS Form 8207. Telehealth Services Attestation

The TX HHS Form 8207, Telehealth Services Attestation, is a crucial document for Home and Community Based Services — Adult Mental Health Program (HCBS-AMH) Provider Agencies (PAs) or Recovery Management Entities (RMEs). This form helps ensure that telehealth services are delivered safely and effectively to participants.

The form requires PAs or RMEs to attest to specific conditions, including obtaining informed consent from each participant or legally authorized representative, and ensuring that participants have access to a private space for discussing their health. Additionally, the form outlines procedures for verifying participants' understanding of telehealth services and obtaining verbal confirmation before service delivery.

To complete the Telehealth Services Attestation form, PAs or RMEs must provide required information, including their name, designee name (if different), contract number, address, and NPI. The form also includes an affirmation statement, which confirms that the provider has read and understood the terms and conditions outlined above. Once completed, the signed form must be uploaded to the HCBS-AMH and YES Waiver Provider Hub.

• The Telehealth Services Attestation form is used by Home and Community Based Services — Adult Mental Health Program (HCBS-AMH) Provider Agencies (PAs) or Recovery Management Entities (RMEs).
• The form requires PAs or RMEs to attest to specific conditions, including obtaining informed consent from each participant.
• The form outlines procedures for verifying participants' understanding of telehealth services and obtaining verbal confirmation before service delivery.