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CONSUMER DIRECTED ATTENDANT SUPPORT SERVICES (CLASS) ATTENDANT SUPPORT MANAGEMENT PLAN (ASMP) Supported Living Services Waiver (SLS) Client Information Client Name:Medicaid ID #:Address:City:Phone:Email:Zip:Authorized
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How to fill out supported living services waiver

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How to fill out supported living services waiver

01
Begin by obtaining a supported living services waiver application from your local state agency.
02
Fill out the personal information section, including your name, address, and contact details.
03
Provide information about your disability or special needs and the level of care required.
04
Include any medical diagnoses or supporting documentation that demonstrates the necessity for supported living services.
05
Detail any current living arrangements and the challenges you face in accessing adequate support.
06
Explain the desired outcome or goals you hope to achieve by receiving supported living services.
07
Sign and date the application form.
08
Submit the completed application along with any required supporting documents to the designated state agency.
09
Follow up with the agency to ensure that your application has been received and to inquire about the status of your request.
10
If approved, carefully review the terms and conditions of the supported living services waiver agreement, and adhere to any guidelines or regulations outlined by the agency.

Who needs supported living services waiver?

01
Individuals who require assistance with daily living activities due to a disability or special needs may benefit from a supported living services waiver.
02
This includes individuals who are unable to live independently and require support for tasks such as personal care, household chores, meal preparation, medication management, transportation, and accessing community resources.
03
Supported living services waivers are typically intended for adults with disabilities, but eligibility criteria may vary depending on the specific state or agency providing the services.
04
It is important to contact your local state agency or Medicaid office to determine if you or someone you know is eligible for a supported living services waiver.
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Supported living services waiver is a program that provides funding for individuals with disabilities to live in their own home or community setting instead of a group home.
Individuals with disabilities who are eligible for the program and wish to receive services in their own home or community setting are required to file supported living services waiver.
Supported living services waiver can be filled out by contacting the local disability services agency or completing an online application form.
The purpose of supported living services waiver is to support individuals with disabilities in living independently and participating fully in their communities.
Supported living services waiver must include information about the individual's disability, living situation, support needs, and goals for independent living.
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