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Application for 1915(c) HUBS Waiver: Draft MO.031.01.01 Jul 01, 2017Page 1 of 136Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home
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Begin by gathering all the necessary documents that may be required to fill out the structured family caregiving waiver. This may include identification documents, medical records, and any other relevant paperwork.
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Carefully read through the waiver form to understand the information and details that need to be provided.
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Start filling out the form by entering your personal information, such as your name, address, and contact details.
04
Provide the necessary details about the individual who requires caregiving, including their name, date of birth, and medical condition.
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Answer all the questions and sections of the waiver form accurately and truthfully. Make sure to provide all the requested information.
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Submit the filled-out form along with any supporting documents to the appropriate authority or agency responsible for processing the structured family caregiving waiver.
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Who needs structured family caregiving waiver?

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The structured family caregiving waiver is designed for individuals who require assistance and support with their daily activities due to a medical condition or disability but prefer to receive care and assistance from their family members or close relatives. This waiver allows qualified family caregivers to receive compensation for providing necessary care services rather than relying solely on formal healthcare providers or institutions.
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The structured family caregiving waiver is a program that provides support and resources to families who are caring for a loved one with disabilities or chronic health conditions, allowing them to receive financial assistance and services while maintaining their caregiving role.
Typically, family members or guardians who are providing care for individuals with disabilities or special health care needs are required to file the structured family caregiving waiver.
To fill out the structured family caregiving waiver, you must obtain the appropriate application form from your state’s health services department, provide necessary documentation regarding the individual you are caring for, and complete sections detailing your caregiving responsibilities and needs.
The purpose of the structured family caregiving waiver is to enhance family caregiving by reducing caregiving burdens, providing financial support, and ensuring access to necessary medical and supportive services for individuals with disabilities.
Information that must be reported includes details about the caregiver, the individual receiving care, health and medical information, financial status, and documentation of the caregiving tasks and responsibilities.
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