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Application for 1915(c) HUBS Waiver: Draft AL.020.04.00 Feb 23, 2021Page 1 of 145Application for a 1915 Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home

How to fill out home and community-based waiver

How to fill out home and community-based waiver

1. Obtain the home and community-based waiver application form from the appropriate agency.
2. Read and understand the eligibility requirements for the waiver program.
3. Gather the necessary supporting documents, such as proof of income, medical records, and proof of residency.
4. Complete the application form accurately and thoroughly, providing all requested information.
5. Submit the completed application and supporting documents to the designated agency either in person or by mail.
6. Follow up with the agency to ensure that your application is received and processed.
7. Attend any required interviews or assessments as part of the application process.
8. If approved, carefully review the terms and conditions of the waiver program and sign any necessary agreements.
9. Begin utilizing the home and community-based waiver services as outlined in the program.

Who needs home and community-based waiver?

1. Individuals who have a disability or chronic condition and require specialized care and support in their home and community may be eligible for the home and community-based waiver.
2. This may include people with physical disabilities, developmental disabilities, intellectual disabilities, or certain medical conditions.
3. The waiver program aims to provide individuals with an alternative to institutional care and allows them to receive the necessary services and supports in a less restrictive setting.
4. Eligibility criteria vary by state and may include factors such as age, income, level of need, and ability to live safely in the community.
5. It is best to contact the appropriate agency or department in your state to determine if you or your loved one qualifies for the home and community-based waiver program.

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What is home and community-based waiver?

Home and community-based waiver are programs that provide services to individuals who would otherwise require care in a nursing home or other facility. These programs allow eligible individuals to receive services in their own homes or communities.

Who is required to file home and community-based waiver?

Individuals who meet the eligibility criteria for home and community-based waiver services may be required to file the waiver in order to receive services.

How to fill out home and community-based waiver?

To fill out a home and community-based waiver, individuals typically need to provide information about their medical condition, living situation, and the types of services they require. This information is usually submitted to the relevant government agency or service provider.

What is the purpose of home and community-based waiver?

The purpose of home and community-based waiver is to allow individuals to receive necessary services in their own homes or communities, rather than in a facility. This can help individuals maintain independence and quality of life.

What information must be reported on home and community-based waiver?

Information that may need to be reported on a home and community-based waiver typically includes details about the individual's medical condition, living situation, financial status, and the services they require.