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Application for 1915(c) HUBS Waiver: Draft MO.031.02.02 Jul 30, 2021Page 1 of 144Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home
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Individuals who require long-term services and support to live in their own homes or communities and meet the eligibility criteria may need to submit an application for 1915c hcbs (Home and Community-Based Services) program. These services may include assistance with activities of daily living, personal care, medical care, therapy, and other supports.
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The 1915(c) Home and Community-Based Services (HCBS) application is a request for Medicaid funding to provide community-based services for individuals with disabilities or special needs, allowing them to live in their own homes or community settings instead of institutional care.
Individuals who wish to receive HCBS services under Medicaid and their legal representatives are required to file the application for the 1915(c) HCBS program.
To fill out the 1915(c) HCBS application, you must provide personal information, detail your health and functional needs, specify the type of services required, and include any necessary documentation regarding income and assets.
The purpose of the 1915(c) HCBS application is to assess eligibility for Medicaid home and community-based services, enabling qualified individuals to receive personalized care and support in their community.
The application must report personal identifying information, medical history, current healthcare needs, desired services, income, and any relevant documentation regarding assets and family support.
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