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

This document serves as the application for renewing South Carolina's Independence Plus waiver, known as South Carolina Choice. It outlines the purpose of the HCBS waiver program, participant-centered

How to fill out application for a 1915

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

1. Obtain the Application for the §1915 (c) HCBS Waiver form from your state's Medicaid agency or website.
2. Read the instructions carefully to understand the eligibility requirements and necessary documentation.
3. Fill out personal information, including your name, address, date of birth, and social security number.
4. Provide details regarding your medical history and any existing diagnoses or conditions that qualify for the waiver.
5. Include information about your functional limitations and how they impact daily living activities.
6. Attach required documentation, such as proof of income, assets, and any medical assessments necessary for the application.
7. Review the completed application for accuracy and completeness.
8. Submit the application to the designated contact at your state Medicaid agency, either by mail or electronically, if allowed.
9. Keep a copy of your application and any supporting documents for your records.
10. Follow up with the Medicaid agency to confirm receipt and inquire about the status of your application.

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

1. Individuals with disabilities or chronic illnesses who require home and community-based services.
2. Those who are eligible for Medicaid and need assistance with daily living activities.
3. Families or guardians applying on behalf of individuals in need of care and support services.

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 request submitted by states to the Centers for Medicare & Medicaid Services (CMS) to provide home and community-based services to eligible individuals rather than institutional care.

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

States are required to file the Application for a §1915 (c) HCBS Waiver in order to offer the option for home and community-based services to individuals who meet specific eligibility criteria.

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

To fill out the Application for a §1915 (c) HCBS Waiver, states must follow the guidelines provided by CMS, ensuring they include all required information, demonstrate compliance with federal regulations, and outline the services and populations that will be served.

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 enable states to provide necessary services and support to individuals with disabilities or those who are elderly, allowing them to live in their communities rather than in institutional settings.

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

The Application for a §1915 (c) HCBS Waiver must report information such as the target population, the services to be provided, the funding sources, the qualifications for service providers, and the methods for ensuring quality and accountability.