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Determining If Waiver Is Right For You

After you have identified your needs, the important question becomes, “which of these needs can be met using a waiver service(s)?”  If necessary, your circle of support can help you answer this question.  If it is determined that your needs can be met using a waiver service(s), you will need to complete a waiver application and apply for Medicaid if you have not already done so.

“The Waiver” Application

You must complete a separate application to apply for “The Waiver” through the DOH DDD.  Your case manager will provide you with the “Application and Request for Home and Community Based Services – DD/MR.” You will need the listed information to complete this application.

Name

Sex (Male/Female)

Birth Date

Social Security Number

Address

Telephone Number

Residential Status

Your residential status is an explanation of where you live.  You will need to know if you live in a licensed/certified setting, independently, with family, with a relative, in an institution/facility, in a hospital/acute care, or another situation.

Guardianship Status

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