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Effective Date: 
5/2017

Documents

Instructions

Updated: 8/2021

Purpose

The following entities must complete and submit Form 1903, Child Support Certification, with their bid or application:

  • sole proprietorships,
  • partnerships,
  • entities with shareholders, or
  • entities with an owner who has an ownership interest of at least 25 percent of the business entity.

Copies and Distribution

Consumer Purchasing (CP) retains the statutorily and procedurally required documentation in the official contract file.

If a CP staff member procures or renews the contract, CP forwards a copy to the contract manager.

If a division staff member procures or renews the contract, division staff:

  • forwards the original to CP; and
  • retains a copy in the contractor file.

Retention

HHSC retains procurement records in a central, accessible location for four years after the end of the calendar year in which the procurement closed.

Acronyms and Definitions

Arrearages—something that is unpaid and overdue.

Obligor—one who is bound by a legal obligation.

Transmittal

Email: providerenrollment@tmhp.com

Questions

Refer comments or questions about this form to the Texas Medicaid & Healthcare Partnership at providerenrollment@tmhp.com.