TX HHS Form 2279. Request for Service Waiver

The Texas Health and Human Services (HHS) Request for Service Waiver form (Form 2279) is a crucial tool for addressing unforeseen circumstances that affect the provision of services within a fiscal year. This document helps resolve issues such as service changes, terminations, or reductions due to declared disasters, provider discontinuations, or legislated changes.

The form requires specific information to be included in the waiver request, including the period of time the waived service is to be in force, affected services and areas within the AAA's region, area plan references supporting the request, and details on how community resources meet the region's service needs. Additionally, the condition that makes this request necessary must be clearly stated.

This form is typically used by the Aging Agency on Aging (AAA) to address unforeseen circumstances that impact the provision of services. Key features include the required information listed above, as well as the need for a detailed explanation of how community resources support the region's service needs. By using this form, the AAA can ensure that its service delivery is adjusted accordingly and that the needs of older individuals and caregivers are met.

• The Request for Service Waiver form (Form 2279) is used to address unforeseen circumstances affecting service provision within a fiscal year.
• The form requires specific information, including period of time waived, affected services and areas, area plan references, and community resource support details.
• This document helps the Aging Agency on Aging (AAA) adjust its service delivery in response to unforeseen circumstances.