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Application for 1915(c) HUBS Waiver: IL.0473. R02.00 Jul 01, 2017Page 1 of 145Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home

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How to fill out application for 1915c hcbs

01

To fill out the application for 1915c hcbs, follow the steps below:

02

Gather all necessary documents and information, such as identification and financial records.

03

Download or obtain a copy of the application form from the appropriate government agency or healthcare provider.

04

Read the instructions carefully to understand the eligibility criteria and required documentation.

05

Fill out the application form accurately, providing all requested information, such as personal details, medical history, and caregiver preferences.

06

Attach any supporting documents, such as medical reports or letters of recommendation, as required.

07

Review the completed application form and documents to ensure everything is filled out correctly.

08

Submit the application either electronically or by mail as specified in the instructions.

09

Keep a copy of the submitted application for your records.

10

Follow up with the relevant agency or provider to inquire about the status of your application.

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If approved, carefully review the terms and conditions of the 1915c hcbs program and seek clarification if needed.

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Begin availing the services and support offered through the 1915c hcbs program.

Who needs application for 1915c hcbs?

01

Individuals who require long-term services and supports (LTSS) due to a disability, chronic illness, or functional impairment may need to fill out an application for 1915c hcbs (Home and Community-Based Services) program.

02

This program assists eligible individuals in receiving care and support in their own homes or community settings instead of institutional care facilities.

03

Individuals with physical disabilities, intellectual or developmental disabilities, or age-related limitations may qualify for 1915c hcbs services.

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What is application for 1915c hcbs?

Application for 1915c HCBS is a form that individuals submit to apply for Home and Community-Based Services under Medicaid.

Who is required to file application for 1915c hcbs?

Individuals who are seeking Home and Community-Based Services under Medicaid are required to file an application for 1915c HCBS.

How to fill out application for 1915c hcbs?

To fill out the application for 1915c HCBS, individuals must provide personal information, medical history, and details of the services they require.

What is the purpose of application for 1915c hcbs?

The purpose of the application for 1915c HCBS is to assess the eligibility of individuals for Home and Community-Based Services under Medicaid.

What information must be reported on application for 1915c hcbs?

The application for 1915c HCBS must include personal information, medical history, details of the services needed, and any supporting documentation.

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