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Get the free Application for 1915(c) HCBS Waiver: KY.40146.R07.00

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Application for 1915(c) HUBS Waiver: KY.40146. R07.00 Oct 01, 2020Page 1 of 139Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM The Medicaid Home
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How to fill out application for 1915c hcbs

01
Obtain the 1915c HCBS application form from the appropriate agency or website.
02
Fill out the applicant's personal information, including name, address, date of birth, and contact information.
03
Provide information about the applicant's medical history, diagnosis, and needed assistance.
04
Include details about the type of services and support needed, such as personal care, homemaking, or transportation.
05
Submit the completed application form along with any required documentation to the designated agency for review.

Who needs application for 1915c hcbs?

01
Individuals with disabilities or elderly individuals who require long-term care services and supports in their home or community settings.
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Application for 1915c HCBS is a form used to apply for Home and Community-Based Services under Medicaid Waiver Program.
Individuals who are seeking to receive Home and Community-Based Services under the Medicaid Waiver Program are required to file an application for 1915c HCBS.
To fill out the application for 1915c HCBS, individuals need to provide personal information, medical history, and details about the services they require.
The purpose of the application for 1915c HCBS is to determine eligibility for Home and Community-Based Services under the Medicaid Waiver Program.
Information such as personal details, medical history, current living situation, and required services must be reported on the application for 1915c HCBS.
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