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Application for 1915(c) HUBS Waiver: CA.0486. R02.00 Oct 01, 2018Page 1 of 140Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home
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What is waiver services complement andor?
Waiver services complement andor is a form used to report additional services provided beyond the standard waiver services.
Who is required to file waiver services complement andor?
Providers of waiver services are required to file waiver services complement andor.
How to fill out waiver services complement andor?
Waiver services complement andor can be filled out electronically or on paper, following the instructions provided by the relevant authority.
What is the purpose of waiver services complement andor?
The purpose of waiver services complement andor is to ensure that all additional services provided are properly documented and reported.
What information must be reported on waiver services complement andor?
Information such as the type of additional services provided, the dates of service, and the cost of each service must be reported on waiver services complement andor.
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