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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 home and community-based waivers

How to fill out home and community-based waivers
01
Contact the appropriate agency to begin the application process
02
Complete the necessary paperwork and provide all required documentation
03
Participate in an assessment to determine eligibility and level of need
04
Develop a care plan with input from the individual and their support system
05
Submit the completed application and supporting documents for review
Who needs home and community-based waivers?
01
Individuals with disabilities or chronic health conditions who require support with daily living activities
02
Elderly individuals who wish to remain in their own homes but need assistance with personal care or household tasks
03
Individuals transitioning from a hospital or nursing facility back to the community who need additional support to maintain independence
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What is home and community-based waivers?
Home and community-based waivers are programs that allow states to provide services to individuals in their homes or communities rather than in institutional settings.
Who is required to file home and community-based waivers?
Individuals who require long-term care services and wish to receive those services in their homes or communities are required to file home and community-based waivers.
How to fill out home and community-based waivers?
To fill out home and community-based waivers, individuals must contact their state Medicaid agency and follow the application process outlined by the agency.
What is the purpose of home and community-based waivers?
The purpose of home and community-based waivers is to provide individuals with long-term care services in their homes or communities, rather than in institutional settings, promoting independence and community integration.
What information must be reported on home and community-based waivers?
Information such as the individual's medical history, level of care needed, and preferences for services must be reported on home and community-based waivers.
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