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ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Developmental Disabilities Office of Licensing Certification and Regulation (LCR) Home and Community Based Services (HUBS)LCR1025A FOR FF (0618)Page

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How to fill out application for initial hcbs

01

To fill out the application for initial HCBS (Home and Community Based Services), follow these steps:

02

Gather all necessary information and documents, such as personal identification, medical history, income information, and contact details.

03

Read the instructions and requirements provided with the application form to ensure you meet all eligibility criteria.

04

Fill out the application form accurately and completely, providing all requested information. Be honest and thorough when describing your needs and situation.

05

Attach any required supporting documents, such as medical records or proof of income.

06

Review your completed application to ensure all information is accurate and all required sections have been filled out.

07

Submit the application by the designated method, which could be online, by mail, or in person. Make sure to meet any deadline specified.

08

Track the progress of your application and follow up if necessary. Keep copies of all submitted documents for your records.

09

Wait for a decision on your application. This process may take some time, so be patient.

10

If approved, review the services and supports offered through the HCBS program and coordinate with the relevant agencies or providers to receive the assistance you need.

Who needs application for initial hcbs?

01

Anyone who requires home and community based services can benefit from applying for initial HCBS.

02

This program is typically aimed at individuals with disabilities, chronic illnesses, or elderly individuals who need assistance with daily activities, healthcare, or living in their own homes.

03

Additionally, family members or caregivers of eligible individuals may also need to fill out the application on their behalf.

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