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Get the free Application for 1915(c) HCBS Waiver: ND.01.01.00 - Apr 01, 2007 - nd

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This document serves as an application for a Medicaid home and community-based services waiver under §1915(c) of the Social Security Act, detailing the program's goals, objectives, services, and
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How to fill out Application for 1915(c) HCBS Waiver: ND.01.01.00 - Apr 01, 2007

01
Gather necessary personal information including the applicant's name, address, and contact details.
02
Determine eligibility by reviewing the income and resources criteria outlined in the waiver guidelines.
03
Complete the demographic section of the application, including details about the applicant's age and disability status.
04
Provide detailed medical information, including diagnoses and the need for home and community-based services.
05
Document any current services the applicant is receiving and any previous services used.
06
Include signatures and dates from both the applicant and the person assisting with the application, if applicable.
07
Review the entire application for completeness and accuracy before submission.
08
Submit the application to the appropriate state agency as indicated in the waiver instructions.

Who needs Application for 1915(c) HCBS Waiver: ND.01.01.00 - Apr 01, 2007?

01
Individuals with disabilities who require long-term care and support services in their home or community.
02
Families or guardians seeking assistance for a loved one with disabilities.
03
Those who have been assessed and found eligible for home and community-based services under the 1915(c) waiver.
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The Application for 1915(c) HCBS Waiver: ND.01.01.00 - Apr 01, 2007 is a document used by states to request federal approval for waiving certain Medicaid requirements to provide home and community-based services to individuals who require long-term care.
States are required to file the Application for 1915(c) HCBS Waiver, typically those that wish to expand their Medicaid program to include home and community-based services for eligible individuals.
To fill out the Application, states must follow the instructions provided by the Centers for Medicare & Medicaid Services (CMS), which generally include gathering relevant demographic data, outlining service provision plans, and detailing budgetary considerations.
The purpose of the application is to enable states to provide a flexible array of home and community-based services to individuals with disabilities or chronic illnesses, allowing them to live in their communities rather than in institutional settings.
The application must report information such as the target population, types of services to be provided, eligibility criteria, service delivery methods, budgetary details, and quality assurance mechanisms.
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Medicaid Home and Community-Based Services HCBS Waiver North Dakota Social Security Act service delivery independent living case management disability services community support

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