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Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home and CommunityBased Services (HUBS) waiver program is authorized in 1915(c) of
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How to fill out home and community-based services

01
Start by gathering all the necessary documents and information, such as personal identification, medical records, and financial information.
02
Contact your local home and community-based services agency to inquire about the application process.
03
Complete the application form accurately and provide all the required information.
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Attach any supporting documents or additional information that may be required.
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Submit the completed application form and documents to the appropriate agency or department.
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Wait for the agency to review your application and determine eligibility.
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If eligible, you may be asked to attend an assessment or evaluation to further determine the level of care needed.
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Once approved, work with the agency to develop a care plan that meets your specific needs and preferences.
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Follow the instructions provided by the agency and make any necessary adjustments or updates to your care plan as needed.
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Continue to communicate with the agency and attend any required meetings or appointments to ensure ongoing support and services.

Who needs home and community-based services?

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Home and community-based services are designed to assist individuals who require support to live independently in their homes and communities.
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This may include elderly individuals who need help with activities of daily living, such as meal preparation, bathing, and dressing.
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It also includes individuals with disabilities who may require assistance with mobility, transportation, or accessing community resources.
04
Individuals with medical conditions or chronic illnesses that require ongoing care and support may also benefit from home and community-based services.
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Ultimately, anyone who needs additional assistance and support to live a fulfilling and independent life at home and within their community can benefit from these services.
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Home and community-based services (HCBS) refer to a variety of supportive services offered to individuals in their own homes or in community settings, allowing them to live as independently as possible while receiving assistance for activities of daily living.
Individuals who are eligible for Medicaid and receiving home and community-based services are required to file for these services, including their caregivers or providers.
To fill out home and community-based services, individuals must complete the appropriate application forms provided by their state Medicaid agency, ensuring all required information about personal details and service needs is accurately provided.
The purpose of home and community-based services is to provide support and assistance to individuals with disabilities, elderly individuals, or those with chronic conditions, enabling them to live in their homes or community settings rather than institutions.
The information that must be reported includes personal identification details, financial information, health and medical needs, and descriptions of the specific services required.
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