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State of CaliforniaHealth and Human Services Agency Department of Health Care ServicesDEPARTMENT OF HEALTH CARE SERVICES HOME AND COMMUNITY BASED SERVICES (HUBS) WAIVER FREEDOM OF CHOICE LETTER/DOCUMENTDateBene×Name C/O
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What is HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER Form?

The HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER is a writable document which can be completed and signed for specified reasons. Next, it is provided to the actual addressee in order to provide some info of any kinds. The completion and signing is possible or via a trusted application like PDFfiller. These tools help to submit any PDF or Word file without printing them out. It also lets you edit its appearance depending on your requirements and put a legal e-signature. Upon finishing, the user ought to send the HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER to the recipient or several recipients by email and also fax. PDFfiller has a feature and options that make your blank printable. It provides different settings for printing out appearance. It does no matter how you will send a document - physically or electronically - it will always look well-designed and organized. In order not to create a new document from the beginning again and again, turn the original file as a template. Later, you will have an editable sample.

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Home and community based services provide support to individuals who require assistance to remain in their homes and communities instead of living in a facility.
Individuals who need assistance to stay in their homes and communities, as well as their caregivers or family members, may be required to file for home and community based services.
To fill out home and community based services, individuals can contact their local health department or social services agency for more information and assistance.
The purpose of home and community based services is to help individuals maintain their independence and quality of life by providing necessary support in their homes and communities.
Information such as the individual's medical history, daily living needs, and caregiver information may need to be reported on home and community based services.
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