TX HHS Form 8494. Notification Regarding an Investigation of Abuse. Neglect or Exploitation

TX HHS Form 8494, Notification Regarding an Investigation of Abuse, Neglect or Exploitation, is a crucial document for long-term care providers to report their response to a Program Investigation (PI) investigation conducted by the Texas Health and Human Services (HHS). This form helps solve the problem of ensuring that program providers take prompt action in addressing allegations of abuse, neglect, or exploitation.

The form requires essential information such as the date submitted, area code and phone number, investigation case number, and disposition of allegation. Providers must also attach documentation supporting their response to confirmed allegations and concerns or recommendations from the investigator or Risk Assessment Coordinator. This notification is a critical step in the process, as it ensures that HHS receives the program provider's response within 14 calendar days after receipt of the investigation report.

This form should be used by long-term care providers who are subject to PI investigations conducted by HHSC's Long-term Care Regulation - LTCR. Specifically, Home and Community-based Services (HCS) and Texas Home Living (TxHmL) program providers must submit this notification within 14 calendar days after receiving the investigation report.