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Request for Amendment to a 1915(c) HUBS Waiver Application Version 3.6Request for an Amendment to AA 1915© Home and Request for CommunityBased Services Waiver I. Request Information A. The State
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How to fill out family supports waiver

01
Obtain the family supports waiver application form from the relevant state or local agency.
02
Fill out the required personal information section including name, contact details, and date of birth.
03
Provide information about the individual's disability or medical condition that necessitates the need for family supports.
04
Detail the specific types of supports required, such as respite care, personal care assistance, or specialized therapies.
05
Include any relevant medical documentation or assessments that support the need for family supports.
06
Submit the completed application form to the agency for review and approval.

Who needs family supports waiver?

01
Individuals with disabilities or medical conditions that require ongoing support from family members.
02
Caregivers who are providing support to a family member with a disability or medical condition.
03
Families seeking financial assistance or services to help care for a loved one with special needs.
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Family supports waiver is a program that provides funding for services and supports to individuals with disabilities to help them live in their own homes or communities.
Parents or legal guardians of individuals with disabilities are required to file family supports waiver on their behalf.
Family supports waiver can be filled out online through the state's department of disability services website or by requesting a paper application.
The purpose of family supports waiver is to enable individuals with disabilities to receive necessary services and supports in their own homes or communities.
Family supports waiver requires information about the individual's disability, current living situation, needs for services and supports, and financial information.
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