TX HHS Form H4800-ADH. Request for Administrative Disqualification Hearing

The TX HHS Form H4800-ADH, Request for Administrative Disqualification Hearing, is a crucial document that helps resolve intentional program violations in the Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF). This form is typically used by government agencies to request an administrative disqualification hearing when a suspect has committed an intentional program violation.

The form requires specific information, including the OIG case number, date of the SNAP or TANF intentional program violation, and details about the suspect. The Office of Inspector General (OIG) recommends that the individual be disqualified from participating in the program for specified periods. Additionally, the form allows for special accommodations to be requested. Agency representatives must provide identification information and attach supporting exhibits A-F.

This form is essential for ensuring accountability and transparency in government programs. By using this form, agencies can initiate a process that holds individuals accountable for violating program rules. Key points to note include:

• The form is used to request an administrative disqualification hearing for intentional program violations in SNAP and TANF.
• The OIG recommends disqualification from participating in the program for specified periods.
• Special accommodations can be requested, and agency representatives must provide identification information.