Deadline Extension - DUA and HHS SPI Due April 17 for Active Fee-for-Service Contractors Only
On March 2, 2017 an alert was distributed through GovDelivery
for active fee-for-service contractors who contract to provide services
for the Texas Health and Human Services Commission (HHSC) programs
listed below. The alert requested contractors to submit a DUA and SPI by
March 16, 2017. Contractors now have an additional 30 days to submit a
DUA and SPI if they do not currently have a DUA and SPI on file.
- Adult Foster Care (AFC)
- Community Living Assistance and Support Services/Continued Family Services (CLASS/CFS)
- Community Living Assistance and Support Services/Case Management Services (CLASS/CMA)
- Community Living Assistance and Support Services/Direct Services Agency (CLASS/DSA)
- Community Living Assistance and Support Services/Support Family Services (CLASS/SFS)
- Consumer Directed Services-Community Living Assistance and Support Services (CDS-CLASS)
- Consumer Directed Services-Deaf Blind with Multiple Disabilities (CDS-DBMD)
- Consumer Directed Services-Home and Community Based Services (CDS-HCS)
- Consumer Directed Services-Primary Home Care (CDS-PHC)
- Consumer Directed Services-Texas Home Living (CDS-TxHmL)
- Consumer Managed Personal Attendant Services (CMPAS)
- Day Activity and Health Services (DAHS)
- Deaf Blind with Multiple Disabilities (DBMD)
- Emergency Response Services (ERS)
- Home and Community Based Services (HCS)
- Home Delivered Meals (HDM)
- Hospice
- Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)
- Program for all Inclusive Care for the Elderly (PACE)
- Residential Care (RC)
- Service Responsibility Option-Primary Home Care/Family Care/Community Attendant Services (SRO-PHC/FC/CAS)
- Special Services to Persons with Disabilities (SSPD)
- Texas Home Living (TxHmL)
- Transition Assistance Services (TAS)
Note: On Sept. 1, 2016, the Texas Department of Aging and
Disability Services (DADS) fee-for-service contracts were transitioned
to HHSC.
Please complete and submit the DUA and Security and Privacy Initial Inquiry (SPI)
to the address below no later than April 17, 2017. Failure to comply
with this request could result in adverse action against your contract,
up to and including termination.
If you do not have a DUA and SPI on file, please submit the requested forms to the following address:
HHS Access and Eligibility Services
Contracted Community Services
Attn: DUA & SPI
Mail Code W-357
P.O. Box 149030
Austin, TX 78714-9030
Please note you are only required to submit one DUA and SPI per legal entity.
When completing the DUA:
- Enter your legal entity name in both ("CONTRACTOR") fields on page 1.
- HHS staff will provide Exhibit B, which will include all active contracts associated with your Tax Identification Number (TIN).
- On page 11, please sign the 'By:' field and enter all requested information in the CONTRACTOR portion.
- If you do not use a subcontractor, Attachment 1 is not required.
- If you use a subcontractor, Attachment 1 must be completed.
- Sign the 'By:' field and enter all requested information in
the CONTRATOR portion and have your subcontractor sign and complete the
SUBCONTRACTOR portion. If you use more than one subcontractor,
additional Attachment 1s will need to be submitted.
- Please note, original signatures are required.
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