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This document is an application submitted by the State of Rhode Island to renew its Home and Community-Based Services (HCBS) waiver under Section 1915(c) of the Social Security Act, aimed at providing
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How to fill out application for a 1915

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How to fill out Application for a §1915 (c) HCBS Waiver

01
Obtain the Application for a §1915 (c) HCBS Waiver from your state's Medicaid website.
02
Read the instructions carefully to understand the eligibility criteria.
03
Gather necessary documents, including proof of income, residency, and medical needs.
04
Complete the application form by filling in personal information such as name, address, and contact details.
05
Detail the individual's specific needs and the type of services requested under the waiver.
06
Attach any required documentation and evidence to support the application.
07
Review the application for completeness and accuracy.
08
Submit the completed application to your local Medicaid office according to the provided guidelines.
09
Follow up with the office to ensure the application was received and inquire about the processing timeline.

Who needs Application for a §1915 (c) HCBS Waiver?

01
Individuals with disabilities who require home and community-based services.
02
Seniors who wish to receive care in their homes instead of institutional settings.
03
Persons with chronic illnesses seeking support for daily living activities.
04
Families seeking additional resources and services for their loved ones.
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People Also Ask about

1915(i) State Plan HCBS Guidelines Establish a process to ensure that assessments and evaluations are independent and unbiased. Ensure that the benefit is available to all eligible individuals within the State. Provide adequate and reasonable provider standards to meet the needs of the target population.
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.
1915(i) can help you or a loved one live at home, find a job, learn skills to participate in the community, recover from substance use disorder and more. If you're on the waitlist for the NC Innovations Waiver or TBI Waiver, you can get these services without losing your spot.
The Medicaid Health Home State Plan Option, authorized under the Affordable Care Act (Section 2703/1945 of the Social Security Act), allows states to design health homes to provide comprehensive care coordination for Medicaid beneficiaries with chronic conditions.
The HCBA Waiver allows Medi-Cal beneficiaries with high- level care needs to continue to live at home or in the community by identifying and ensuring applicants receive services that will sustain their health care needs and safety outside of an institution.
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.
Established as part of the Deficit Reduction Act of 2005, section 1915(i) of the Social Security Act gives states the option to provide Home and Community Based Services (HCBS) without a waiver.

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The Application for a §1915 (c) HCBS Waiver is a request for federal funding to provide home and community-based services to individuals with disabilities and certain groups of individuals who require care in a community setting rather than in an institution.
States are required to file the Application for a §1915 (c) HCBS Waiver to access federal matching funds to support home and community-based services for eligible populations.
To fill out the Application for a §1915 (c) HCBS Waiver, states must complete a detailed application that includes information on the proposed services, populations served, funding structures, and assurance of quality standards, following guidelines set by the Centers for Medicare & Medicaid Services (CMS).
The purpose of the Application for a §1915 (c) HCBS Waiver is to obtain federal authorization for states to provide and receive funding for home and community-based services, enabling individuals with disabilities to live independently and receive care in their communities.
The application must include information such as the target population, specific services to be provided, the proposed budget, quality assurance measures, and the intended outcomes of the waiver program.
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