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Application for 1915(c) HUBS Waiver: IL.0473. R02.02 Dec 31, 2017 (as of Jan 10, 2018)Page 1 of 138Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM
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Who needs based services waiver?

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Individuals who require or are eligible for specific government-based services may need to fill out a based services waiver. The exact criteria may vary depending on the specific services and location. It is advisable to consult the relevant authorities or organizations to determine the eligibility requirements for the based services waiver.
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Based services waiver is a form that allows eligible individuals or entities to request a waiver for specific services based on certain criteria.
Any individual or entity that meets the criteria for a waiver of specific services is required to file a based services waiver.
To fill out a based services waiver, individuals or entities must provide detailed information about the services for which they are requesting a waiver and their eligibility for the waiver.
The purpose of based services waiver is to provide a mechanism for individuals or entities to request exemptions or waivers for specific services based on certain criteria.
The based services waiver must include information about the services for which a waiver is being requested, the criteria for eligibility for the waiver, and any supporting documentation.
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