Get the free Application for a §1915 (c) HCBS Waiver - scdhhs

This document serves as an application for a new §1915(c) HCBS waiver that aims to provide early intensive behavioral intervention services to children diagnosed with pervasive developmental disorders,

How to fill out application for a 1915

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

1. Obtain the Application for §1915 (c) HCBS Waiver from your state's Medicaid office or website.
2. Read the instructions carefully to understand the eligibility requirements.
3. Fill out the personal information section, including your name, address, and contact details.
4. Provide information about your disability or condition that requires home and community-based services.
5. Include details regarding your income and financial situation as required.
6. Document any additional needs or support you require for daily living activities.
7. Gather necessary supporting documentation, such as medical records and proof of income.
8. Review the completed application for accuracy and ensure all required sections are filled.
9. Submit the application along with any supporting documents to your local Medicaid office.
10. Follow up with the Medicaid office to confirm receipt and check on the status of your application.

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

1. Individuals with disabilities who require long-term care services in home or community settings.
2. Individuals who need assistance with daily living activities due to physical or intellectual disabilities.
3. Families or caregivers seeking funding for services to support loved ones with disabilities.

People Also Ask about

What is a 1915i assessment?

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.

What is Section 1915 C of the Social Security Act Medicaid waiver payments?

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.

What is the income limit for HCBS waiver?

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.

What is the 1915i waiver in NC?

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.

What is the Medicaid Health Home State Plan option?

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.

Who qualifies for the HCBA waiver?

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.

What is 1915 I HCBS state plan option?

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.

What is the Social Security Act 1915?

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.

For pdfFiller’s FAQs

What is Application for a §1915 (c) HCBS Waiver?

The Application for a §1915 (c) HCBS Waiver is a formal request submitted to the state Medicaid agency to provide Home and Community-Based Services to individuals who require long-term care services in a community setting rather than an institutional setting.

Who is required to file Application for a §1915 (c) HCBS Waiver?

States are required to file an application for a §1915 (c) HCBS Waiver to the Centers for Medicare & Medicaid Services (CMS) to receive federal funding for providing home and community-based services to eligible individuals.

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

To fill out the Application for a §1915 (c) HCBS Waiver, the state must complete specific forms detailing the proposed services, program structure, and eligibility criteria. States must include data reflecting the needs of the population to be served and ensure compliance with federal regulations.

What is the purpose of Application for a §1915 (c) HCBS Waiver?

The purpose of the Application for a §1915 (c) HCBS Waiver is to allow states to offer flexible services and supports to individuals with disabilities or chronic illnesses, enabling them to live independently in their communities rather than in institutions.

What information must be reported on Application for a §1915 (c) HCBS Waiver?

The application must report details such as the target population, types of services to be offered, program administration structure, funding sources, eligibility requirements, and methods for ensuring quality and oversight of the services provided.