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Updated 7/30/19F ACT S Featuring California's Spousal Impoverishment Rule for Home and Community Based ServicesCANHR is a private, nonprofit 501(c)(3) organization dedicated to improving the quality

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Start by downloading the fsspousalimpoverishmenthcbs1317doc form from the official website or obtain a physical copy.

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Read the instructions on the form carefully to understand the requirements and eligibility criteria.

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Fill in your personal information accurately, including your name, address, and contact details.

05

Provide the necessary details about your spouse, such as their name, date of birth, and Social Security number.

06

Provide information about your income, assets, and financial resources as requested in the form.

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If needed, attach any supporting documents that may be required, such as bank statements or proof of income.

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Who needs fsspousalimpoverishmenthcbs1317doc?

01

Fsspousalimpoverishmenthcbs1317doc is needed by individuals who are applying for Home and Community-Based Services (HCBS) and require the spousal impoverishment protection.

02

This form is typically required for Medicaid applicants whose spouses are not applying for HCBS and need to protect a portion of their income and assets to support themselves financially.

03

It is essential for individuals who want to ensure that their spouse's income and resources are not depleted entirely while seeking long-term care services.

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What is fsspousalimpoverishmenthcbs1317doc?

fsspousalimpoverishmenthcbs1317doc is a document related to Medicaid that addresses spousal impoverishment rules for Home and Community-Based Services (HCBS).

Who is required to file fsspousalimpoverishmenthcbs1317doc?

The spouse of a Medicaid beneficiary receiving Home and Community-Based Services (HCBS) is required to file fsspousalimpoverishmenthcbs1317doc.

How to fill out fsspousalimpoverishmenthcbs1317doc?

You can fill out fsspousalimpoverishmenthcbs1317doc by providing accurate financial information regarding the income and resources of the Medicaid beneficiary and their spouse.

What is the purpose of fsspousalimpoverishmenthcbs1317doc?

The purpose of fsspousalimpoverishmenthcbs1317doc is to determine if a Medicaid beneficiary's spouse is eligible for certain protections to prevent financial hardship.

What information must be reported on fsspousalimpoverishmenthcbs1317doc?

Information such as income, assets, and expenses of both the Medicaid beneficiary and their spouse must be reported on fsspousalimpoverishmenthcbs1317doc.

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