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New Choices Waiver Attachment B Special Provisions Environmental Accessibility Adaptations Services Home Modifications INTRODUCTION The Home and CommunityBased Services (HUBS) New Choices Waiver Program
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How to fill out a new choices waiver:

01
Start by obtaining a copy of the new choices waiver form. This form is typically available from the agency or organization offering the program or service.
02
Read through the instructions provided on the form carefully. Familiarize yourself with the purpose of the waiver and the specific requirements for completing it.
03
Begin by filling in your personal information accurately. This may include your full name, address, contact details, and any other relevant details requested.
04
Next, provide any necessary information about the program or service you are applying for. This may include the name of the provider, program dates, and any specific details required.
05
Check if there are any additional sections or questions that need to be addressed. Some waivers may require you to answer specific eligibility criteria or provide additional documentation.
06
Review all the information you have provided to ensure its accuracy and completeness. Double-check for any errors or missing information that may lead to delays in processing your application.
07
Sign and date the waiver form where indicated. Make sure to read any accompanying statements or agreements before signing to understand your rights and responsibilities.
08
If required, attach any supporting documentation or additional forms that may be necessary. Ensure that these are organized and clearly labeled to avoid confusion.
09
Make a copy of the completed form for your records before submitting it. It is always beneficial to have a copy in case of any discrepancies or inquiries in the future.
10
Submit the filled-out new choices waiver form to the appropriate agency or organization as instructed. This may involve mailing it, delivering it in person, or submitting it electronically, depending on the specific instructions provided.

Who needs a new choices waiver?

01
Individuals who are seeking access to specific programs or services that require a waiver as part of the application process.
02
People who may have certain limitations, disabilities, or unique circumstances that necessitate the need for a waiver to participate in or receive benefits from a program.
03
Applicants who have been informed by the agency or organization offering the program that a new choices waiver is required to proceed with the application process.
04
Those who have decided to explore alternative options or opportunities beyond the standard offerings and wish to request special consideration or accommodations.
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Anyone who meets the eligibility criteria outlined by the program or service and is willing to comply with the terms and conditions set forth in the new choices waiver.
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New Choices Waiver is a Medicaid program that provides home and community-based services to individuals with disabilities or long-term care needs.
Individuals who are eligible for Medicaid and in need of long-term care services may be required to file for the New Choices Waiver.
To fill out the New Choices Waiver, individuals can contact their local Medicaid office or healthcare provider for assistance with the application process.
The purpose of the New Choices Waiver is to allow individuals to receive care in their home or community instead of in a nursing facility.
Information such as the individual's medical history, income, living situation, and care needs must be reported on the New Choices Waiver application.
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