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Get the free Request for Medicaid Home and Community-Based Services (HCBS) - communityportal fcdj...

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Reset Form Ohio Department of Job and Family ServicesRequest for Medicaid Home and CommunityBased Services (HUBS) You must receive Medicaid to receive waiver services. If you have not applied for
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Request for medicaid home is a form submitted to apply for government assistance for long-term care services provided in the home.
Individuals who are in need of long-term care services provided in the home and meet the eligibility requirements set by the government are required to file a request for medicaid home.
Request for medicaid home can be filled out either online through the government's official website or through a physical form that can be submitted by mail.
The purpose of request for medicaid home is to assess the individual's eligibility for government assistance in receiving long-term care services at home.
The requested information on the form may include the individual's personal information, medical history, financial status, and the type of long-term care services needed.
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