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Home and Community Based Services Waiver Program O F F I C E O F P L A N N I N G M E D I C A I D P O L I C Y A N D D I V I S I O N O F D I S A B I L I T Y A N D R E H A B I L I T A T I V E S E R V
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How to fill out home and community based:

01
Gather all necessary documents and forms required for the application process.
02
Provide accurate personal information, such as name, address, contact details, and social security number.
03
In the application, clearly state the specific home and community-based services you are seeking, whether it's for healthcare, support services, or assistance with daily activities.
04
Describe your current living situation and explain why home and community-based services are necessary for you or your loved one.
05
Include any relevant medical or disability-related information that supports your need for home and community-based services.
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Remember to sign and date the application, ensuring that all sections are completed correctly.

Who needs home and community based:

01
Individuals with disabilities who require additional support and assistance to live independently in their homes and communities.
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Older adults who may have difficulty performing everyday tasks and need help with tasks like meal preparation, housekeeping, or transportation.
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Individuals with chronic illnesses or medical conditions who require regular medical care or assistance with managing their health at home.
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People who may be recovering from surgery, illness, or injury and need temporary support in their own homes rather than in a healthcare facility.
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Caregivers who provide support to individuals with disabilities or aging adults and may benefit from respite services or additional community resources.
By offering home and community-based services, individuals can receive the necessary support and care in a familiar and comfortable environment, promoting independence and overall well-being.
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Home and community based services provide support to individuals who prefer to receive care in their own homes or in community settings, rather than in institutions.
Individuals who are eligible for home and community based services and wish to receive the benefits must file for the program.
To fill out home and community based services, individuals can contact their local health department or social services agency for assistance.
The purpose of home and community based services is to provide individuals with the support they need to live independently and remain in their homes and communities.
Information such as the individual's medical history, current needs, and desired services must be reported on home and community based.
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