An operation is released from the HM plan and progresses to the post-plan monitoring stage once the operation meets all of the following requirements:

• Has been on the HM plan for at least one year.
• Satisfies the conditions of the 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 not out of compliance on any minimum standards previously identified as a trend or pattern.

If the HM developmental team determines that an operation has not successfully met the conditions of the HM plan, DFPS and HHSC HM staff continue to reduce risk and improve quality of care by doing the following:

• Continuing to complete weekly inspections or visits.
• Continuing to assess the operation’s compliance with the plan.
• Holding regular FITS to determine whether other actions should be taken.