Source: https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/home-community-support-services-agencies-hcssa/change-ownership-chow
Timestamp: 2017-06-25 03:37:55
Document Index: 259006280

Matched Legal Cases: ['art 1', '§97', '§97', 'art 1', '§97', '§97', 'art 1', '§97', '§97', '§97']

Change of Ownership (CHOW) | Texas Health and Human Services
About HHSServicesDoing Business with HHSBusiness and Contracting OpportunitiesContracts of $100,000 and MoreGrantsHUB ProgramImmunizations and VaccinesLicensing, Credentialing and RegulationProvider PortalsProvider Self-reportingTrainingVendor & Contractor InformationLaws & RegulationsContact Change of Ownership (CHOW)
You are hereHome > Doing Business with HHS > Provider Portals > Long-term Care Providers > Home and Community Support Services Agencies (HCSSA) > Change of Ownership (CHOW)	Doing Business with HHS
Home and Community Support Services Agencies (HCSSA)Change of Ownership (CHOW)
Providers of Training in the Administration of HCSSA Report Change of Agency Information
CHOW Application Required Documents
A late fee of $250 per license, in addition to the licensing fee, will be assessed if the change of ownership application is postmarked less than 30 days before the effective date of the change of ownership.
Form 2022, Home and Community Support Services Agencies Licensure Criminal History Check, for all owners, administrators, alternate administrators and chief financial officers. Nonprofit and multi-level organizations must identify the controlling individuals, including: name, position, birth date and, preferably, Social Security number.
Organizational structure of the agency denoting lines of authority down to and including the patient care level.
Current resumes for the administrator, alternate administrator, supervising nurse and alternate supervising nurse, and required continuing education (CE) certificates for the administrator and alternate administrator. (Click here for a list of training providers.) Resumes must include the month, date, year and a detailed description of the duties performed for current and past employment.
Plan for providing continuing training and education for personnel during the term of the license. Refer to the Texas Administrative Code, Title 40, Part 1, Chapter 97, §97.259 and §97.260.
Job description and personnel qualifications for the administrator, alternate administrator, supervising nurse and alternate supervising nurse. Refer to the Texas Administrative Code, Title 40, Part 1, Chapter 97, §97.244 and §97.259.
Plan that provides for the orderly transfer of client care if the applicant cannot maintain delivery of home health, hospice or personal assistance services. Refer to Texas Administrative Code, Title 40, Part 1, Chapter 97, §97.217, §97.291, and §97.295.
Certificates from the HCSSA presurvey computer-based training for the administrator, alternate administrator, supervising nurse and alternate supervising nurse.
Copy of the Bill of Sale or Sales Agreement.
A notarized document signed by the previous owner(s) stating agreement with the change of ownership as well as the effective date of the change of ownership.
Accreditation letter (if applicable). The accreditation status does not automatically transfer to the new owner; the agency must have a letter from the accrediting body stating that they have been informed of the change of ownership and the accreditation has been transferred to the new owner(s).
Contract status (if applicable). The contracts do not automatically transfer to the new owner. The agency must notify the contract manager and request a contract assignment for each contract (Community Based Alternatives, Primary Home Care, Community Living Assistance and Support Services, etc.).
Branch and ADS Application for CHOW
Printed CMS 855A Home Health Enrollment Application (Please read the instructions for how to submit this form to the fiscal intermediary) OR
Corporation Limited partnership General partnership Sole proprietor
Once a CHOW license is issued, the agency must notify the DADS regional office within six months of the issuance of the CHOW license and request a CHOW health survey using DADS Form 2020, Notification of Readiness for Initial Survey. Licensing surveys will continue to be done at regular intervals and must be passed for the agency's license to be renewed. For an agency to retain its license, any inspection, survey, follow-up visit or complaint/incident investigation must show that the agency is in compliance with the current state licensure or federal certification laws and rules, or both.