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Get the free Application for a §1915(c) Home and Community-Based Services Waiver

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This document is an application for renewal of Michigan's Home and Community-Based Services (HCBS) waiver under section 1915(c) of the Social Security Act, intended to provide Medicaid beneficiaries
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How to fill out application for a 1915c

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How to fill out Application for a §1915(c) Home and Community-Based Services Waiver

01
Gather necessary documentation, including proof of income, medical records, and identification.
02
Obtain the application form from your state's Department of Health or Medicaid agency website.
03
Complete the application form by providing accurate personal information and details about your needs.
04
Include information about the services you require, such as personal care, transportation, or respite services.
05
Ensure all required signatures are obtained, including from your case manager if applicable.
06
Review the application for completeness and accuracy.
07
Submit the application and any supporting documents to the appropriate agency by the deadline.
08
Follow up with the agency to confirm receipt of your application and to inquire about the next steps.

Who needs Application for a §1915(c) Home and Community-Based Services Waiver?

01
Individuals with disabilities who require long-term care services.
02
Aged individuals who need assistance to live in the community.
03
Families seeking support for their loved ones to receive care at home instead of in an institutional setting.
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People Also Ask about

States can operate as many HCBS Waivers as they want — currently, about 257 HCBS Waiver programs are active nationwide.
A family of two seeking to qualify for government subsidies under the 2025 Obamacare health insurance must have an income between $20,440 and $81,760.
1915(i) State Plan HCBS Overview 1915(i) provides states with the option to cover HCBS through their Medicaid state plans rather than through a 1915(c) waiver. 1915(i) requires participants to meet a state-defined needs-based criteria, not an institutional level of care as required under a 1915(c) waiver.
The Medicaid Home- and Community-Based Services (HCBS) waiver program was authorized under Section 1915(c) of the Social Security Act. Through this program, states can help provide different services that allow those who need care to receive services in their homes or communities.
There are two financial eligibility requirements for Home and Community Based Services (HCBS) Waivers – an asset limit and an income limit. In most states in 2025, the individual asset limit for HCBS Waivers is $2,000 and the individual income limit is $2,901/month.
There are two financial eligibility requirements for Home and Community Based Services (HCBS) Waivers – an asset limit and an income limit. In most states in 2025, the individual asset limit for HCBS Waivers is $2,000 and the individual income limit is $2,901/month.
The OPWDD Home and Community-Based Services (HCBS) Waiver operated by the Office for People With Developmental Disabilities (OPWDD) is a program of supports and services that enables adults and children with developmental disabilities to live in the community as an alternative to Intermediate Care Facilities (ICFs).

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The Application for a §1915(c) Home and Community-Based Services Waiver is a request submitted to state Medicaid agencies seeking approval to provide home and community-based services (HCBS) to individuals who would otherwise require institutional care. This waiver allows states to offer a range of support services in the community.
State Medicaid agencies are required to file the Application for a §1915(c) Home and Community-Based Services Waiver to provide HCBS to eligible individuals. Additionally, providers of these services may also help individuals and families in the application process.
To fill out the Application for a §1915(c) Home and Community-Based Services Waiver, states must complete the necessary forms provided by the Centers for Medicare & Medicaid Services (CMS), detailing the proposed services, eligibility criteria, and budget. Input from stakeholders and community assessments is also essential before submission.
The purpose of the Application for a §1915(c) Home and Community-Based Services Waiver is to allow states to provide necessary support and services that enable individuals with disabilities or chronic conditions to live in their communities rather than in institutions, promoting independence and integration.
The Application for a §1915(c) Home and Community-Based Services Waiver must report information including the target population, the types of services to be provided, eligibility criteria, budget requirements, quality assurance measures, and the proposed methods for ensuring participant choice and access to services.
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