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Application for a 1915 (c) HUBS Waiver Application Version 3.3 Submitted by: Texas Health and Human Services Commission Submission Date:11/27/06CMS Receipt Date (CMS Use)Provide a brief one two sentence

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What is application for a 1915?

Application for a 1915 is a form used to request a waiver for certain Medicaid requirements.

Who is required to file application for a 1915?

Individuals or organizations seeking a waiver for certain Medicaid requirements are required to file application for a 1915.

How to fill out application for a 1915?

Application for a 1915 can be filled out by providing information about the individual or organization seeking the waiver, reasons for the request, and supporting documentation.

What is the purpose of application for a 1915?

The purpose of application for a 1915 is to request a waiver for certain Medicaid requirements in order to provide specific services or benefits.

What information must be reported on application for a 1915?

Information such as the individual or organization's details, reasons for the waiver request, and supporting documentation must be reported on application for a 1915.

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