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DEPT. OF MEDICAL ASSISTANCE SERVICES Wavered Services Day Support Waiver for Individuals with Mental Retardation Page 1 of 34Day Support Waiver for Individuals with Mental Retardation Definitions
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How to fill out home and community-based services

01
Contact your local Department of Health and Human Services to inquire about the eligibility criteria for home and community-based services.
02
Fill out the necessary application forms provided by the department or agency.
03
Provide all required documentation such as medical records, proof of income, and any other relevant information requested.
04
Attend an assessment or evaluation to determine the level of care needed and the specific services that would benefit you or your loved one.
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Work with a care coordinator or case manager to develop a care plan tailored to your individual needs and preferences.
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Review and sign any consent forms or agreements related to the services being provided.
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Stay in communication with your care team and be proactive in addressing any concerns or changes in your care needs.

Who needs home and community-based services?

01
Individuals who require assistance with activities of daily living such as bathing, dressing, and meal preparation.
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Elderly individuals who may need help with mobility, medication management, or housekeeping tasks.
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People with disabilities who require support to live independently in their community.
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Individuals recovering from surgery or illness who need temporary assistance with rehabilitation and care.
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Caregivers who are in need of respite services to help them take a break from their caregiving duties.
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Home and community-based services are designed to help individuals with disabilities or chronic conditions remain in their homes and communities by providing a range of supportive services.
Providers of home and community-based services are required to file reports on the services they provide.
Providers can fill out home and community-based services reports by detailing the type of services provided, the number of individuals served, outcomes achieved, and any other required information.
The purpose of home and community-based services is to support individuals in need of assistance to live independently and participate in community life.
Providers must report on the types of services provided, number of individuals served, outcomes achieved, and any other required information specified by the reporting requirements.
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