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OFFICE OF THE GOVERNOR Walter Sellers Building | 550 High Street, Suite 1000 | Jackson, Mississippi 39201HOME AND COMMUNITYBASED ASSISTED LIVING WAIVER Medicaid, as authorized by Title XIX of the
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Determine the specific needs of the individual requiring assistance.
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Research and identify available home and community-based assisted programs.
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Contact the appropriate agency or organization to inquire about eligibility requirements and application process.
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Complete the necessary forms and provide any required documentation.
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Attend any scheduled assessments or interviews to determine the level of assistance needed.
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Who needs home and community-based assisted?

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Individuals with disabilities who require help with daily activities such as personal care, housekeeping, or transportation.
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Elderly individuals who need assistance with tasks such as meal preparation, medication management, or mobility.
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Individuals recovering from an injury or illness who need temporary support to regain independence and self-sufficiency.
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Home and community-based assisted services provide support for individuals who need assistance with daily living activities within their own homes or in a community setting.
Providers of home and community-based assisted services are required to file the necessary documentation.
To fill out home and community-based assisted documentation, providers must provide necessary information about the services provided and the individuals receiving care.
The purpose of home and community-based assisted services is to enable individuals to remain in their homes or community and receive the support they need to live independently.
Information such as services provided, individuals receiving care, hours of care, and any other relevant details must be reported on home and community-based assisted documentation.
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