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Application for 1915(c) HUBS Waiver: SC.0675. R03.05 Jul 01, 2023 (as of Jul 01, 2023)Page 1 of 138Application for a 1915© Home and CommunityBased Services Waiver PURPOSE OF THE HUBS WAIVER PROGRAM

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How to fill out application for 1915c hcbs

01

Begin by obtaining the application form for 1915c HCBS from the relevant agency or online.

02

Carefully read through all instructions provided on the application form.

03

Fill out all required personal information such as name, address, contact details, and date of birth.

04

Provide necessary details about your medical condition or disability that make you eligible for 1915c HCBS.

05

Attach any supporting documents or medical records as requested on the application form.

06

Review the completed application form to ensure all sections are filled out accurately.

07

Submit the application form to the designated agency either in person or by mail as per the instructions provided.

Who needs application for 1915c hcbs?

01

Individuals who have a medical condition or disability that requires home and community-based services (HCBS) as outlined under the 1915c waiver program.

02

Those who meet the eligibility criteria set forth by the Medicaid program for receiving HCBS under 1915c waiver.

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What is application for 1915c hcbs?

1915c Home and Community-Based Services (HCBS) waiver is a Medicaid program that allows states to provide long-term services and supports to individuals in their own homes or communities.

Who is required to file application for 1915c hcbs?

Individuals who are seeking long-term services and supports through the 1915c HCBS waiver program are required to file an application.

How to fill out application for 1915c hcbs?

The application for 1915c HCBS waiver can typically be filled out online through the state's Medicaid website or by contacting the local Medicaid office for assistance.

What is the purpose of application for 1915c hcbs?

The purpose of the application for 1915c HCBS waiver is to assess an individual's needs for long-term services and supports to determine their eligibility for the program.

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

The application for 1915c HCBS waiver typically requires information about the individual's medical condition, functional limitations, living situation, and financial status.

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