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Application for 1915(c) HUBS Waiver: MD.0645. R03.00 Jul 01, 2021Page 1 of 139Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home

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How to fill out application for 1915c hcbs

01

To fill out the application for 1915c HCBS, follow these steps:

02

Start by gathering all the necessary documents such as proof of identity, medical records, and financial information.

03

Contact your local Department of Health and Human Services (DHHS) office to request an application form. You can usually find the contact information on the DHHS website.

04

Fill out the application form completely and accurately. Make sure to provide all the required information and answer all the questions.

05

If you need assistance or have any questions while filling out the application, don't hesitate to reach out to the DHHS office for help.

06

Once you have completed the application, double-check all the information to ensure it is correct and complete.

07

Submit the application along with any additional documents required by the DHHS office. You may need to make copies of certain documents for your own records.

08

Keep a record of the date you submit the application and any correspondence with the DHHS office.

09

Wait for the DHHS office to review your application. They may contact you for additional information or to schedule an interview.

10

If your application is approved, you will be notified by the DHHS office. They will provide further instructions on how to proceed with the 1915c HCBS program.

11

If your application is denied, you can inquire about the reasons for denial and explore other options or appeal the decision if necessary.

Who needs application for 1915c hcbs?

01

Anyone who requires home and community-based services (HCBS) under the 1915c Waiver program may need to fill out an application for 1915c HCBS.

02

This program provides support and services to individuals with disabilities or chronic illnesses who wish to receive care and assistance in their own homes or community settings instead of institutional care.

03

Individuals who have functional limitations and need assistance with activities of daily living, medical care, or other supportive services may qualify for the 1915c HCBS program.

04

It is always recommended to check with the local DHHS office or consult with a healthcare professional to determine eligibility and the specific requirements for applying to the 1915c HCBS program.

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What is application for 1915c hcbs?

Application for 1915c hcbs is a form used to apply for Home and Community-Based Services (HCBS) under Medicaid waiver programs.

Who is required to file application for 1915c hcbs?

Individuals who are seeking HCBS through the Medicaid waiver programs are required to file the application for 1915c HCBS.

How to fill out application for 1915c hcbs?

To fill out the application for 1915c HCBS, individuals must provide personal information, medical history, and details about the services they are requesting.

What is the purpose of application for 1915c hcbs?

The purpose of the application for 1915c HCBS is to assess eligibility for Home and Community-Based Services under Medicaid waiver programs.

What information must be reported on application for 1915c hcbs?

On the application for 1915c HCBS, individuals must report personal information, medical history, current living situation, and details about the services they are seeking.

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