Become a TBI Waiver Provider

• Contact RRDS in Buffalo region @ (716) 408-3120

• Send on letterhead, request to provide specific service and include history of service and of agency

• Complete application packet and submit to RRDS

1. Form 263 instructions
2. Form 263

• Attend scheduled interview with RRDS

• Review of RRDS recommendations by DOH

• Receive final determination from DOH

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