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DEPARTMENT OF SOCIAL SERVICES MISSOURI MEDICAID AUDIT AND COMPLIANCE UNIT MISSOURI MEDICAID ADULT DAY CARE PROVIDER PROFILE PLEASE TYPE OR PRINT CLEARLY SECTION I: PROVIDER INFORMATION 1. LEGAL PROVIDER
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How to fill out adult day care waiver
How to fill out adult day care waiver
01
Obtain a copy of the adult day care waiver form from the facility providing the service.
02
Read the form carefully and provide all requested information accurately.
03
Make sure to sign and date the waiver where required.
04
If there are any sections that you are unsure about or need clarification on, don't hesitate to ask the staff at the adult day care facility for assistance.
05
Once the form is completed, return it to the facility for processing.
Who needs adult day care waiver?
01
Anyone who is considering utilizing adult day care services may need to fill out an adult day care waiver.
02
This form may be required by the adult day care facility to ensure that they have necessary information and agreements in place before providing care services.
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What is adult day care waiver?
An adult day care waiver is a program that allows eligible individuals to receive day services in a community setting, offering support and care for adults with disabilities or chronic illnesses, thereby enabling them to remain in their homes and communities.
Who is required to file adult day care waiver?
Providers of adult day care services who seek reimbursement for offering these services under Medicaid or other state assistance programs are required to file an adult day care waiver.
How to fill out adult day care waiver?
To fill out the adult day care waiver, providers should obtain the necessary forms from the appropriate state agency, complete all required sections accurately, provide necessary documentation, and submit the forms by the specified deadline.
What is the purpose of adult day care waiver?
The purpose of the adult day care waiver is to provide funding for day care services that assist individuals in maintaining their independence while receiving therapeutic, social, and personal care in a structured environment.
What information must be reported on adult day care waiver?
The information that must be reported on the adult day care waiver includes the provider's details, client eligibility information, service descriptions, billing information, and any other documentation required by the state agency.
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