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HUBS SUPPLEMENTAL FORM HUBS providers must complete this form for each Hub's service certified/licensed to provide and have enrolled with Kansas Medicaid. Please use the legend below when completing

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How to fill out hcbs program

01

Step 1: Gather all the necessary documents and information required for the HCBS program application.

02

Step 2: Contact your local HCBS program office to request an application form.

03

Step 3: Fill out the application form completely and accurately. Make sure to provide all the required information.

04

Step 4: Attach any supporting documents or medical records that are necessary for the application.

05

Step 5: Submit your completed application to the HCBS program office. You may do this in person, by mail, or through an online portal if available.

06

Step 6: Wait for a response from the HCBS program office. They will review your application and determine if you meet the eligibility criteria.

07

Step 7: If approved, you will receive notification of your acceptance into the HCBS program. You will also receive information about the services and supports you are eligible to receive.

08

Step 8: Begin accessing the HCBS program services and supports, following any instructions provided by the program office.

Who needs hcbs program?

01

Individuals with disabilities who require assistance with daily activities and support to live independently.

02

Elderly individuals who need help with tasks such as meal preparation, bathing, dressing, and medication management.

03

People with chronic illnesses or medical conditions that require ongoing care and monitoring.

04

Family caregivers who need respite and support services in order to continue providing care for their loved ones at home.

05

Individuals at risk of institutionalization who would prefer to receive care in their own homes and communities.

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What is HCBS program?

HCBS stands for Home and Community-Based Services program. It is a Medicaid program that provides long-term services and supports to individuals with disabilities or chronic illnesses in their homes or communities, rather than in institutional settings.

Who is required to file HCBS program?

Individuals with disabilities or chronic illnesses who need long-term services and supports are required to file for HCBS program.

How to fill out HCBS program?

To fill out the HCBS program, individuals can contact their state Medicaid agency or a case manager for assistance. The application process may vary by state.

What is the purpose of HCBS program?

The purpose of the HCBS program is to help individuals with disabilities or chronic illnesses remain in their homes and communities, rather than being placed in institutional settings.

What information must be reported on HCBS program?

Information such as the individual's medical history, level of disability or illness, need for assistance with daily activities, and income must be reported on the HCBS program.

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