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COMMUNITY PATHWAYS WAIVER Appendix Page 1 of 17Appendix D: ParticipantCentered Planning and Service Delivery Appendix D1: Service Plan Development State ParticipantCentered Service Plan Title:Person-centered
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How to fill out community pathways waiver

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How to fill out community pathways waiver

01
To fill out the Community Pathways Waiver, follow these steps:
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Obtain a copy of the waiver form from the relevant authorities.
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Read the instructions and eligibility criteria carefully to ensure that you meet all the requirements.
04
Gather all the necessary documents and information, such as proof of residency, income, disability documentation, etc.
05
Complete the personal information section, including your name, address, contact details, date of birth, and social security number.
06
Provide details about your disability or medical condition, specifying the type and severity of the impairment.
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Indicate the services and supports you require to live independently and participate in community activities.
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If applicable, provide information about your income and financial resources for eligibility determination.
09
Sign and date the waiver form, certifying the accuracy of the information provided.
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Submit the completed form along with the necessary supporting documents to the designated authority.
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Await the review and decision on your waiver application. You may be contacted for additional information or clarification.
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Note: It is advisable to consult with a professional or advocate who specializes in disability services for guidance throughout the process.

Who needs community pathways waiver?

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The Community Pathways Waiver is designed for individuals with developmental disabilities or related conditions who require long-term services and supports to live and participate in their communities.
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Specifically, the waiver may be applicable for individuals who:
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- Have an intellectual disability
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- Have a developmental disability
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- Experience functional limitations due to related conditions such as autism, cerebral palsy, epilepsy, etc.
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- Are at risk of institutional placement without the waiver services
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- Meet the eligibility criteria established by the relevant authority
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Individuals who have been assessed and determined to require a certain level of support to remain in a community setting may qualify for the Community Pathways Waiver.
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The Community Pathways Waiver is a program in certain states that provides support and services for individuals with developmental disabilities to live in the community rather than in institutions.
Individuals with developmental disabilities who are seeking services and support under the Community Pathways Waiver are required to file.
To fill out the Community Pathways Waiver, individuals or their guardians need to complete the specific application forms provided by the state, providing all required personal and medical information.
The purpose of the Community Pathways Waiver is to provide individuals with developmental disabilities access to community-based services and supports that promote independence and inclusion.
The Community Pathways Waiver requires information such as personal identification details, medical history, support needs, and the desired services or programs.
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