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Application for Home and CommunityBased Services Waivers for Moving Forward Plan (MFP)Community Living WaiverMassHealth use only Date application received: / / MFP WAIVER INFORMATION 18554995109 (TTY:
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How to fill out community living waiver
How to fill out community living waiver
01
To fill out the community living waiver, follow these steps:
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Start by obtaining the community living waiver form from the appropriate authority or organization.
03
Read the instructions on the form carefully to understand the requirements and eligibility criteria.
04
Provide your personal information, such as name, address, contact details, and date of birth.
05
Answer all the questions accurately and truthfully, ensuring that you provide complete information.
06
Attach any necessary documents or supporting evidence required to support your application.
07
Review the completed form to make sure all information is accurate and legible.
08
Sign and date the form as required.
09
Submit the filled-out community living waiver form to the designated authority or organization either in person or by mail.
10
Follow up with the authority or organization to track the progress of your application if necessary.
11
It's important to note that the specific process and requirements for filling out the community living waiver may vary depending on your location and the governing authority. It is recommended to seek guidance from the appropriate authority or organization for detailed instructions.
Who needs community living waiver?
01
The community living waiver is typically designed for individuals who require support and services to live in their own homes or communities instead of institutional care. Those who may need the community living waiver include:
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- Individuals with developmental disabilities
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- Individuals with physical disabilities
04
- Individuals with intellectual disabilities
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- Individuals with mental health conditions
06
- Individuals with acquired brain injuries
07
- Individuals with chronic illnesses
08
However, the eligibility criteria and specific requirements for obtaining the community living waiver may vary depending on the jurisdiction and the governing authority. It is best to consult with the appropriate authority or organization to determine if you or someone you know qualifies for the community living waiver.
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What is community living waiver?
Community living waiver is a program that provides support and services to individuals with disabilities to live in the community instead of in an institution.
Who is required to file community living waiver?
Individuals with disabilities who wish to receive support and services to live in the community are required to file the community living waiver.
How to fill out community living waiver?
To fill out the community living waiver, individuals can contact their local Department of Social Services or Medicaid office for assistance.
What is the purpose of community living waiver?
The purpose of the community living waiver is to promote independence and quality of life for individuals with disabilities by providing necessary support and services to live in the community.
What information must be reported on community living waiver?
Information such as personal details, medical history, support needed, and living arrangements must be reported on the community living waiver.
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