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Get the free (HCBS) Services Application - Office of Mental Health - New York State - omh ny

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Result of Screening Date: Dear : The referral packet of your child, has been screened and reviewed. It appears that he/she Does meet the clinical eligibility criteria to apply for HUBS waiver services.
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The HCBS services application is a form used to apply for Home and Community Based Services (HCBS), which are programs that provide assistance and support to individuals with disabilities or chronic illnesses who wish to remain in their homes and communities instead of receiving care in an institutional setting.
Individuals who require assistance and support due to disabilities or chronic illnesses and wish to receive HCBS must file the application.
The HCBS services application can be filled out by gathering the necessary information and completing the form accurately and completely. It may require personal and medical details, documentation of disabilities or chronic illnesses, and information about the desired services.
The purpose of the HCBS services application is to assess the eligibility and need for Home and Community Based Services. It helps determine the appropriate services and level of support that an individual requires.
The HCBS services application may require reporting personal information (such as name, contact information), medical history, disabilities or chronic illnesses, details of current living situation, desired services, and any additional supporting documentation.
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