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Application for 1915(c) HUBS Waiver: PA.0324. R05.00 Jul 01, 2021Page 1 of 118Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home

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Step 1: Obtain the application form for a 1915c

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Step 2: Fill in your personal information such as name, address, and contact details

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Step 3: Provide information about your medical condition and any disabilities you may have

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Step 4: Include any supporting documentation or medical records that may be required

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Step 5: Submit the completed application form to the appropriate agency or organization

Who needs application for a 1915c?

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Individuals who require long-term care services and supports, such as individuals with disabilities, chronic illnesses, or elderly individuals may need to apply for a 1915c

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What is application for a 1915c?

An application for a 1915c is a request for a home and community-based waiver program for individuals who require long-term care services.

Who is required to file application for a 1915c?

Individuals who need long-term care services and meet certain eligibility criteria are required to file an application for a 1915c.

How to fill out application for a 1915c?

The application for a 1915c must be completed with accurate information about the individual's medical needs and personal details.

What is the purpose of application for a 1915c?

The purpose of the application for a 1915c is to assess the eligibility of individuals for home and community-based waiver programs that provide long-term care services.

What information must be reported on application for a 1915c?

The application for a 1915c must include information about the individual's medical history, personal care needs, financial situation, and any other relevant details.

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