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COMMUNITY PATHWAYS WAIVER Appendix A Proposal 2023Page 1 of 34Application for a 1915© Home and CommunityBased Services Waiver Submitted by: The Maryland Department of Health Office of Health Services

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How to fill out home and community-based services

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To fill out home and community-based services, follow these steps:

02

Determine eligibility: Check if you meet the eligibility criteria for home and community-based services. These criteria can vary depending on the specific program and the state you live in. Contact your local health department or social service agency to inquire about eligibility.

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Gather necessary documents: Collect all the documents and information required to complete the application. This may include personal identification, medical records, income statements, and proof of residency.

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Wait for a response: After submitting the application, you will typically receive a notification confirming receipt. The agency will review your application and make a determination of eligibility. This process may take some time, so be patient.

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Follow up if necessary: If you haven't heard back within a reasonable timeframe or have any questions or concerns, contact the agency to inquire about the status of your application.

Who needs home and community-based services?

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Home and community-based services are typically required by individuals who have functional limitations or disabilities that prevent them from living independently or who require assistance with their daily activities. This can include the elderly, individuals with chronic illnesses or disabilities, and those recovering from medical procedures or injuries. Home and community-based services help these individuals receive necessary support and care while remaining in their own homes or communities rather than moving to institutions or nursing facilities.

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What is home and community-based services?

Home and community-based services refer to a range of services that help individuals with disabilities and older adults live in their own homes or communities and avoid unnecessary institutionalization.

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

Service providers and caregivers are required to file home and community-based services.

How to fill out home and community-based services?

To fill out home and community-based services, providers need to document the services provided, the duration of services, and the outcomes achieved by the individuals receiving the services.

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

The purpose of home and community-based services is to support individuals with disabilities and older adults to live independently in their homes and communities.

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

Information that must be reported on home and community-based services includes the types of services provided, the number of individuals served, and the outcomes achieved.

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