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Application for 1915(c) HCBS Waiver: UT.1246.R02.00 Jul 01, 2023Page 1 of 150Application for a 1915(c) Home and CommunityBased Services Waiver PURPOSE OF THE HCBS WAIVER PROGRAM The Medicaid Home

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Gather all required information and documents such as personal information, medical history, and current medical needs.

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Complete the application form with accurate and detailed information.

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Submit the application along with any supporting documentation to the appropriate agency or organization.

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Who needs application for a 1915c?

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Individuals who require long-term care services and supports in a community-based setting may need to fill out an application for a 1915c waiver.

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What is application for a 1915c?

The 1915(c) application is a request for the Home and Community-Based Services (HCBS) waiver, which provides states with the flexibility to offer services to individuals with disabilities and older adults, allowing them to receive care in community settings rather than in institutional facilities.

Who is required to file application for a 1915c?

The state Medicaid agency is required to file the 1915(c) application on behalf of eligible individuals seeking home and community-based services.

How to fill out application for a 1915c?

To fill out the 1915(c) application, the state Medicaid agency must complete specific forms detailing the proposed services, the target population, and the state's plan for ensuring compliance with federal requirements. This generally involves submitting data on service delivery, staff qualifications, and financial management.

What is the purpose of application for a 1915c?

The purpose of the application for a 1915(c) waiver is to obtain federal approval to provide Medicaid-funded services in a home and community-based setting to individuals requiring long-term care, thereby promoting independence and community integration.

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

The application must report information including the target population, types of services offered, eligibility criteria, service delivery method, cost estimates, and plans for quality assurance and oversight.

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