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Application for 1915(c) HUBS Waiver: Draft NE.010.04.03 Jul 01, 2022Page 1 of 149Application 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 multipurpose senior services program

01

To fill out the Multipurpose Senior Services Program (MSSP), follow these steps:

02

Obtain the MSSP enrollment form either online or from the nearest MSSP office.

03

Provide personal information such as name, address, phone number, and date of birth.

04

Provide information about your current living situation and housing arrangements.

05

Indicate any medical conditions, disabilities, or special needs that require assistance.

06

Provide information about your income, assets, and financial resources.

07

Include details about any caregiver or family support you currently have.

08

Sign and date the form, and make sure all the information provided is accurate.

09

Submit the completed form to the MSSP office either in person or by mail.

10

Await a response from the MSSP office regarding your eligibility and enrollment status.

Who needs multipurpose senior services program?

01

The Multipurpose Senior Services Program (MSSP) is designed to meet the needs of elderly individuals who

02

Are 65 years old or older.

03

Meet the criteria for placement in a nursing facility but prefer to live at home or in a community setting.

04

Require assistance with their daily living activities.

05

Have limited income and assets.

06

Live within the service area of an MSSP site.

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What is multipurpose senior services program?

Multipurpose Senior Services Program (MSSP) is a program that provides a variety of services to seniors to help them maintain their independence and quality of life.

Who is required to file multipurpose senior services program?

The MSSP is typically filed by organizations or agencies that provide services to seniors, such as community centers, nursing homes, or home health agencies.

How to fill out multipurpose senior services program?

To fill out the MSSP, organizations must provide detailed information about the services they offer to seniors, the number of seniors served, and the outcomes of the services provided.

What is the purpose of multipurpose senior services program?

The purpose of the MSSP is to ensure that seniors have access to the services they need to live independently and maintain a high quality of life.

What information must be reported on multipurpose senior services program?

The MSSP typically requires organizations to report on the types of services provided, the number of seniors served, the outcomes of the services, and any challenges or barriers faced in providing services.

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