Get the free New Choices Waiver - Utah Department of Health

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New Choices WaiverDivision of Medicaid and Health Financing, Bureau of Authorization and Community Based Services 8015386155 (option 6) or toll-free 8006629651 (option 6)Dear Applicant: The New Choices

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How to fill out new choices waiver

01

To fill out the new choices waiver, follow these steps:

02

Begin by obtaining a copy of the new choices waiver form. This form can typically be found on the official website of the organization providing the waiver or through a designated authority.

03

Read the instructions and guidelines provided with the form carefully to ensure you understand the requirements.

04

Fill in the personal information section accurately, providing details such as your name, address, contact number, and social security number, if required.

05

Move to the eligibility section and provide all necessary information and documentation to prove your eligibility for the new choices waiver.

06

Proceed to the choice selection section and indicate the specific services or programs you are interested in availing through the waiver.

07

If applicable, provide any additional required information or documentation for each chosen program or service.

08

Review the filled form for any errors or omissions, making sure all sections are completed correctly.

09

Sign and date the form where indicated, confirming that the provided information is accurate to the best of your knowledge.

10

Submit the completed new choices waiver form by following the specified submission instructions. This may involve mailing it to the appropriate address, delivering it in person, or submitting it online, depending on the given options.

11

Keep a copy of the filled form for your records.

12

Note: It is recommended to reach out to the organization or authority responsible for the new choices waiver if you have any doubts or need further assistance in filling out the form.

Who needs new choices waiver?

01

The new choices waiver is typically designed for individuals who meet certain eligibility criteria and require long-term support and services. It is intended for individuals with disabilities or chronic health conditions who may benefit from additional assistance and community-based services, rather than residing in institutionalized settings.

02

Specific eligibility requirements may vary depending on the state or organization providing the waiver. Generally, individuals who require significant assistance with activities of daily living, such as personal care, medication management, therapy services, and access to community resources, may be eligible for the new choices waiver.

03

To determine if you or someone you know needs the new choices waiver, it is recommended to consult the official guidelines or contact the relevant organization responsible for administering the waiver in your area. They will be able to assess eligibility and provide further information on how to apply.

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What is new choices waiver?

New Choices Waiver is a Medicaid program that provides home and community-based services to individuals who are elderly or have disabilities and would otherwise require care in a nursing home.

Who is required to file new choices waiver?

Individuals who are elderly or have disabilities and require home and community-based services are required to file for the new choices waiver.

How to fill out new choices waiver?

To fill out the new choices waiver, individuals need to provide information about their medical condition, living situation, and the services they require.

What is the purpose of new choices waiver?

The purpose of the new choices waiver is to enable individuals to receive care at home or in the community, rather than in a nursing home.

What information must be reported on new choices waiver?

Information such as medical history, living situation, required services, and financial information must be reported on the new choices waiver form.

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