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WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F02319 (04/2018)HOME AND COMMUNITYBASED WAIVER MEDICAID ENROLLMENT FOR THE CHILDREN LONGER SUPPORT WAIVER PROGRAM County waiver

How to fill out home and community-based waiver

How to fill out home and community-based waiver

1. To fill out the home and community-based waiver application, follow these steps:
2. Obtain the application form from the relevant state agency or download it from their website.
3. Provide personal information such as your name, address, contact details, and date of birth.
4. Answer questions regarding your current living situation and the types of services you require.
5. Provide medical and health information, including any diagnoses or disabilities.
6. Include supporting documentation such as medical records, assessments, and evaluations.
7. Submit the completed application to the appropriate state agency as per their specified guidelines.
8. Wait for the agency to review your application and notify you of their decision.
9. If approved, you will be enrolled in the home and community-based waiver program and receive the necessary services and supports.
10. Note: The specific steps and requirements may vary depending on the state and the particular home and community-based waiver program.

Who needs home and community-based waiver?

1. Home and community-based waivers are designed for individuals who require long-term care services and supports but prefer to receive them in their own homes or communities rather than in institutional settings.
2. The waivers are typically targeted towards individuals with disabilities, older adults, and individuals with chronic illnesses or injuries.
3. Some specific groups of people who may need home and community-based waivers include:
4. - Individuals with physical disabilities who need assistance with activities of daily living, such as bathing, dressing, or eating.
5. - Individuals with cognitive disabilities who need support with intellectual or developmental activities.
6. - Older adults who require assistance with medication management, transportation, or meal preparation.
7. - Individuals with chronic illnesses or injuries who need ongoing medical care and assistance.
8. It's important to note that eligibility requirements may vary by state and program, so it's advisable to consult the relevant state agency or program guidelines for specific criteria.

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What is home and community-based waiver?

Home and community-based waiver is a program that allows individuals to receive long-term care services in their own homes or communities instead of in nursing homes or other institutions.

Who is required to file home and community-based waiver?

Individuals who require long-term care services and wish to receive them in their home or community are required to file a home and community-based waiver.

How to fill out home and community-based waiver?

To fill out a home and community-based waiver, individuals can contact their local Medicaid office for assistance and guidance on the application process.

What is the purpose of home and community-based waiver?

The purpose of home and community-based waiver is to provide individuals with the option to receive long-term care services in a more personalized and less restrictive setting than a nursing home.

What information must be reported on home and community-based waiver?

Home and community-based waiver typically requires individuals to report their medical needs, living situation, and preferred long-term care services.