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Print application selector for 1915(b) Waiver: UT.0004. R02.00 Jan 01, 2024Page 1 of 76Facesheet: 1. Request Information (1 of 2)
A. The State of Utah requests a waiver/amendment under the authority
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How to fill out home and community based

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01
Identify the specific program or service you are applying for
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Who needs home and community based?
01
Individuals who require assistance with daily activities due to physical or mental disabilities
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Individuals recovering from illness or injury who need temporary help with activities of daily living
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What is home and community based?
Home and community based refers to services and support provided to individuals in their own homes or community settings, rather than in institutional care. This can include personal care, medical services, and support programs aimed at enhancing quality of life.
Who is required to file home and community based?
Individuals who receive home and community based services, such as Medicaid beneficiaries who qualify for these programs, are typically required to file the necessary documentation for eligibility and support.
How to fill out home and community based?
To fill out the home and community based forms, individuals should gather necessary personal and financial information, complete the required application or reporting forms, and submit them as per the guidelines provided by the overseeing agency.
What is the purpose of home and community based?
The purpose of home and community based services is to provide individuals with access to support that allows them to live independently and safely in their own homes and communities, improving their overall well-being.
What information must be reported on home and community based?
Reporting typically includes personal identification details, income and asset information, descriptions of services received, and any changes in living situation or health status.
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