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Application for 1915(c) HUBS Waiver: SC.0456. R01.03 Mar 01, 2014 (as of Mar 01, 2... Page 1 of 143Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM

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What is application for a 1915c?

An application for a 1915c is a request for home and community-based services under a Medicaid waiver program.

Who is required to file application for a 1915c?

Individuals who require long-term care services and wish to receive them in their home or community setting are required to file an application for a 1915c.

How to fill out application for a 1915c?

To fill out an application for a 1915c, individuals must provide information about their medical needs, living situation, income, assets, and desired services.

What is the purpose of application for a 1915c?

The purpose of an application for a 1915c is to determine eligibility for home and community-based services under a Medicaid waiver program.

What information must be reported on application for a 1915c?

Individuals must report information about their medical needs, living situation, income, assets, and desired services on an application for a 1915c.

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