Form 2020 PDF Details

No later than six months after the effective date of an agency's initial license, an agency must:

Admit clients: admit and provide services to clients as described in 26 TAC Section 558.521(b).

Submit this form: submit this form to the designated survey office, except as described in 26 TAC Section 558.521(f).

Hospice: a hospice with an inpatient unit located at the hospice's principal place of business must also admit and provide inpatient services to at least one client.

Medicare survey: to request an initial Medicare certification survey, proceed to Section 2.

Where to submit: submit the completed form to your Regional PM via mail, fax, email, or TULIP upload with the subject line or file name as “Form 2020”.

QuestionAnswer
Form NameForm 2020
Form Length3 pages
Fillable?Yes
Fillable fields106
Avg. time to fill out18 min
EditionDecember 2023
Where to sendYour Regional PM, via mail, fax, email, or TULIP upload
Matches the agency's fileYes, checked October 11, 2026
Other namesForm 2020, HHSC Form 2020, Texas Form 2020, HCSSA Form 2020, Notification of Readiness for Initial Survey
Official sourceForm 2020 (December 2023)