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COMMUNITY SUPPORTS WAIVER Appendix A Proposal 2023Page 1 of 40Application for a 1915(c) Home and CommunityBased Services Waiver Submitted by: The Maryland Department of Health Office of Health Services
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How to fill out nhtd waiver program

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How to fill out nhtd waiver program

01
Gather necessary documentation, including proof of income and residency.
02
Contact your local Medicaid office to request an application for the NHTD waiver program.
03
Complete the application form with accurate information regarding your health needs and personal circumstances.
04
Include any required medical documentation from your healthcare provider that supports your eligibility.
05
Submit the completed application and all supporting documents to your local Medicaid office.
06
Wait for a response from the agency, which may include a request for an interview or further information.
07
Attend any required interviews or assessments scheduled by the agency to determine eligibility.
08
Once approved, review the terms of your services under the NHTD waiver program.

Who needs nhtd waiver program?

01
Individuals with disabilities who require support services to live in their community.
02
Adults who have physical disabilities that significantly impair their daily activities.
03
People who are aged 18 or older and need assistance with daily living skills.
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Individuals seeking personalized care options rather than institutional residency.
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The NHTD (Non-Hospital Treatment Development) waiver program is a Medicaid initiative that provides services and supports to individuals with serious mental illness or substance use disorders, aimed at facilitating their recovery and helping them transition from institutional settings to community-based living.
Individuals who wish to receive services under the NHTD waiver program or providers offering NHTD services must file the appropriate documentation to qualify and participate in the program.
To fill out the NHTD waiver program application, individuals need to complete the required forms, provide necessary documentation regarding their mental health or substance use history, and submit this information to their local Medicaid office or designated agency.
The purpose of the NHTD waiver program is to enhance the quality of life for individuals by providing access to community-based services that promote recovery, independence, and social integration, reducing reliance on institutional care.
Information that must be reported includes personal identification details, medical history, current treatment plans, financial information for Medicaid eligibility, and any service needs specific to the individual.
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