TX HHS Form 2279. Request for Service Waiver

TX HHS Form 2279: Request for Service Waiver is a document used by the Texas Aging Agency on Aging (AAA) to request a waiver when unforeseen circumstances require changes or terminations of services within a fiscal year. The form helps solve the problem of unexpected disruptions in service provision, ensuring that the AAA can adapt to changing circumstances while maintaining compliance with regulations.

The key features of this form include the required information on the period of time for which the waiver is sought, the affected service and area(s), and the condition that makes the request necessary. The form also requires the submission of specific data, such as population demographics and community resource support. Common scenarios of use may include declared disasters, provider discontinuations, or legislated changes to service provision.

This form should be used when unforeseen circumstances arise, requiring the AAA to adjust its service provision within a fiscal year. The waiver request must be submitted individually for each action taken, and the form must include all required information as specified in TX HHS Form 2279: Request for Service Waiver.