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ACTION: To Be RefiledDATE: 05/23/2017 2:57 Rule Summary and Fiscal Analysis (Part A) Ohio Department of Medicaid Agency NameTommi Potter DivisionContact50 Town St 4th floor Columbus OH 43218270961475238776149951301Agency
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How to fill out passport hcbs waiver program

01
Determine if you are eligible for the Passport HCBS waiver program by meeting the necessary criteria.
02
Contact the appropriate agency in your state or region to request an application for the program.
03
Fill out the application form completely and accurately, providing all required information and documentation.
04
Submit the completed application to the agency within the designated timeframe.
05
Attend any required interviews or assessments as part of the application process.
06
Wait for a decision on your application and follow any instructions provided by the agency.

Who needs passport hcbs waiver program?

01
Individuals who require long-term care services and supports but wish to remain living in their own homes or communities.
02
People who meet the eligibility criteria for the Passport HCBS waiver program as determined by their state or region.
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Passport HCBS (Home and Community Based Services) waiver program is a Medicaid program that provides services to individuals who require a nursing home level of care but choose to remain living in their own home or community.
Individuals who require a nursing home level of care but choose to remain living in their own home or community are required to file for the Passport HCBS waiver program.
You can fill out the Passport HCBS waiver program by contacting your local Medicaid office or a Medicaid Service Coordination agency for assistance in completing the necessary forms.
The purpose of the Passport HCBS waiver program is to provide services and supports to individuals who require a nursing home level of care in order to help them remain living in their own home or community.
The Passport HCBS waiver program requires information such as the individual's medical needs, living situation, income, and any other relevant information that will help determine eligibility for the program.
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