When an operation is placed on HM, it must remain on HM until it meets all of the following requirements:

• Has been on the HM plan for at least one year.
• Satisfies the conditions of the HM plan.
• Has at least six consecutive months of unannounced HM inspections and visits indicating that the operation is in compliance with the standards and contract requirements that led to HM.
• Is in compliance with all minimum standards that are weighted medium-high or high.

Monitoring after Operation Is Released from HM Plan

When an operation is released from the HM plan, it is placed into a six-month post-plan monitoring stage. During this stage, DFPS and HHSC coordinate to make at least three unannounced visits or inspections within the first three months after the operation is released from the HM plan. The HM developmental team must track the compliance history for six months during this post-plan monitoring stage to make sure the operation continues to comply with the concerns addressed during HM.