TX HHS Form 8206. Service Area Change Request

The TX HHS Form 8206, Service Area Change Request, helps adult mental health program providers adjust their service areas to meet changing needs. This form is typically used by provider agencies or recovery management entities when they need to expand or remove service areas from their Statement of Work.

This form requires providers to specify the current and proposed service areas, including local mental health authorities, behavioral health authorities, and rural counties. Providers must also describe the resources they have in place in the proposed service area(s) and submit updated exhibits from their original operational excellence packet. The form also asks for information on participants served in the proposed service area(s), reasons for removal or expansion, and efforts made to fulfill contractual obligations.

Key features of this form include:

• Requesting an expansion or removal of service area(s) from the Statement of Work
• Providing information on current and proposed service areas, including local authorities and rural counties
• Describing resources in place for the proposed service area(s)
• Submitting updated exhibits from the original operational excellence packet