TX HHS Form 8600. Plan of Removal Provider Template

The TX HHS Form 8600, Plan of Removal Provider Template, is a crucial document that helps providers address immediate threats or jeopardy to individuals in their care. This form should be used when a provider has been notified of an immediate threat or jeopardy to the health, safety, and well-being of an individual.

This template requires facility information, including name, ID or contract number, and date notified of immediate jeopardy. The Plan of Removal (PoR) must include specific actions taken by the provider to address the noncompliance that resulted in or may have caused a serious adverse outcome. The PoR also needs to outline actions to prevent recurrence of noncompliance, including who is responsible for monitoring and completing these actions.

The form highlights key scenarios where immediate action is necessary, such as providing training to staff directly involved with the immediate threat or jeopardy, assessing environmental concerns, or taking disciplinary action. The TX HHS Form 8600, Plan of Removal Provider Template, provides a structured approach to addressing immediate threats or jeopardy and ensuring the safety and well-being of individuals in care.