TX HHS Form 8492. Random Sample Review of Nursing On-Call Required Submission of Documentation

The TX HHS Form 8492, Random Sample Review of Nursing On-Call Required Submission of Documentation, is a crucial tool for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) providers. This form helps ensure that required documentation is submitted to the Texas Health and Human Services (HHS) within five business days after receipt.

The form requires HCS and TxHmL providers to submit specific documents, including the most recent residential, day hab, respite, supported employment, and notes for a specified individual. Additionally, providers must list the names, titles, and corresponding signatures of registered nurses' and licensed vocational nurses'. This documentation is essential for HHSC's random sample review process.

To facilitate compliance with this requirement, providers should ensure that they submit all requested information in a timely manner. Failure to do so may result in additional requests or follow-up actions from HHSC. Key points to note include:

• The form is used for random sample reviews of nursing on-call services.
• Providers must submit required documentation within five business days after receipt.
• The form is used by HCS and TxHmL providers, as well as HHSC's Waiver Survey and Certification team.