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Application for 1915(c) HUBS Waiver: FL.40205. R03.00 Jan 01, 2020Page 1 of 137Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home
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A request for a renewal is a formal application submitted to extend the validity of a license, permit, or other regulatory approval that is about to expire.
Individuals or organizations that hold a license, permit, or other regulatory approval and wish to continue operating under that approval must file a request for a renewal.
To fill out a request for a renewal, you should provide personal information, details of the existing approval, and any necessary documentation as required by the issuing authority, ensuring all sections are completed accurately.
The purpose of a request for a renewal is to maintain compliance with regulatory requirements and ensure that licenses or permits remain valid for continued operation.
Information that must be reported typically includes the applicant's name, address, details of the original license or permit, any changes in circumstances, and any required supporting documents.
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