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APPENDIX K: Emergency Preparedness and Response and COVID-19 Addendum Background: This standalone appendix may be utilized by the state during emergency situations to request amendments to its approved
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How to fill out in home supports waiver
How to fill out in home supports waiver
01
Contact your state's Medicaid office to inquire about the in home supports waiver program.
02
Complete an application form provided by the Medicaid office.
03
Submit any required documentation such as medical records, proof of income, and a care plan from a physician.
04
Schedule an assessment with a representative from the Medicaid office to determine eligibility and the level of support needed.
05
Once approved, work with a case manager to develop a care plan and choose a provider for in home supports.
Who needs in home supports waiver?
01
Individuals with disabilities who require assistance with activities of daily living such as bathing, dressing, cooking, and cleaning.
02
Elderly individuals who need help to remain living independently in their homes.
03
Caregivers of individuals with disabilities who need respite services to take a break from caregiving responsibilities.
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What is in home supports waiver?
The in home supports waiver provides funding for individuals with disabilities to receive services and support while living in their own homes.
Who is required to file in home supports waiver?
Individuals with disabilities who meet the eligibility criteria for the waiver are required to file.
How to fill out in home supports waiver?
The in home supports waiver can be filled out online or through a paper application. It requires personal and medical information of the applicant.
What is the purpose of in home supports waiver?
The purpose of the in home supports waiver is to provide individuals with disabilities the necessary services and support to live independently in their own homes.
What information must be reported on in home supports waiver?
Information such as personal details, medical history, current living situation, and the type of supports needed must be reported on the in home supports waiver.
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