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Application for 1915(c) HUBS Waiver: Draft ND.004.02.00Page 1 of 120Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home and CommunityBased
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01
Obtain the HCBS waiver application form from DHCS or their website.
02
Read the instructions and requirements carefully to ensure eligibility.
03
Gather all necessary documents such as proof of income, residency, and any medical records.
04
Complete the application form accurately, providing all requested information.
05
Attach the required documents to the application.
06
Submit the completed application and supporting documents to DHCS through the specified method (mail, in-person, online, etc.).
07
Wait for DHCS to review the application and notify you of their decision.
08
If approved, work with DHCS to develop a care plan and select providers.
09
Follow any additional instructions provided by DHCS to maintain eligibility and access the HCBS waiver benefits.

Who needs hcbs waiver - dhcs?

01
Individuals who require long-term care services and wish to receive support in their homes or communities.
02
People with disabilities or chronic illnesses who need assistance with daily activities.
03
Individuals who meet the eligibility criteria set by DHCS for HCBS waiver services.
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The HCBS waiver, or Home and Community-Based Services waiver, administered by the Department of Health Care Services (DHCS), is a program designed to provide services and support to individuals with disabilities or chronic conditions, allowing them to live in community settings rather than institutional facilities.
Those who are seeking eligibility for home and community-based services typically need to file for the HCBS waiver. This includes individuals with specific disabilities, chronic health conditions, or those requiring assistance with daily activities.
To fill out the HCBS waiver, applicants should complete the required application form provided by the DHCS, gather necessary documentation regarding their health status and personal information, and submit the application according to the guidelines set by the DHCS.
The purpose of the HCBS waiver is to provide necessary services and support to eligible individuals in order to help them maintain their independence, enhance their quality of life, and promote community integration.
Information that must be reported on the HCBS waiver includes personal identification details, medical history, functional abilities, types of services needed, and any financial or income information relevant to eligibility.
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