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HCBSWaiver Self-directed Services Paid Neighbor Agreement Participants Name: IN: is an adult who has chosen to Redirect the supports and services s/he receives through the ODD, and has a desire to
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HCBS-waiver self-directed services paid refer to services paid to individuals participating in a Home and Community Based Services waiver program who direct how their services are provided.
Participants in the HCBS waiver program are required to file self-directed services paid.
HCBS-waiver self-directed services paid can be filled out by providing detailed information about the services received, the amount paid, and the method of payment.
The purpose of the hcbs-waiver self-directed services paid is to track and document the payments made to individuals in the waiver program for the services they choose.
Information such as the service provided, amount paid, date of payment, and the individual receiving the service must be reported on hcbs-waiver self-directed services paid.
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