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Get the free Application for a §1915(c) Home and CommunityBased Services Waiver - dshs state tx

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This document details the application process for a §1915(c) Medicaid Home and Community-Based Services Waiver in Texas, providing various services to Medicaid beneficiaries with serious emotional
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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 CommunityBased Services Waiver

01
Gather required personal information including name, address, and date of birth.
02
Obtain medical documentation or evaluations that support the need for home and community-based services.
03
Complete the application form, ensuring all sections are filled out accurately, including caregiver information if applicable.
04
Describe the individual's needs and how the requested services will meet those needs.
05
Review the completed application for accuracy and completeness.
06
Submit the application to the appropriate state or local agency responsible for processing §1915(c) Waiver applications.

Who needs Application for a §1915(c) Home and CommunityBased Services Waiver?

01
Individuals with disabilities who require assistance with daily living activities.
02
Individuals who prefer to receive support in their homes instead of in institutional settings.
03
Caregivers or family members seeking support for their loved ones.
04
Individuals eligible for Medicaid who need additional services not covered by traditional health insurance.
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People Also Ask about

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 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.
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.
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.
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.
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) Home and Community Based Services Waiver is a request made to receive federal funding for providing home and community-based services to individuals who meet specific eligibility requirements, often used to support individuals with disabilities or those in need of long-term care.
States are required to file the Application for a §1915(c) Home and Community Based Services Waiver to establish a program that provides home and community-based services to eligible individuals. Individuals cannot file the application themselves; rather, it must be submitted by the state agency overseeing Medicaid services.
To fill out the Application for a §1915(c) Home and Community Based Services Waiver, states must provide comprehensive details about the proposed services, target populations, eligibility criteria, service delivery mechanisms, and budget forecasts. The application requires specific forms that must be completed by the state Medicaid agency and submitted to the federal Centers for Medicare & Medicaid Services (CMS).
The purpose of the Application for a §1915(c) Home and Community Based Services Waiver is to allow states to offer flexibility in the provision of Medicaid-funded services, enabling individuals to receive long-term care in home and community settings, thereby improving their quality of life and reducing reliance on institutional care.
The Application for a §1915(c) Home and Community Based Services Waiver must report information including the state's proposed service delivery structure, target populations, eligibility criteria, types of services provided, budget estimates, and outcomes expected from the implementation of the waiver program.
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