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7:Select Your Service Provider(s)38

Sample Questions To Use in Your Selection

Services and Provider Authorization Form (SPAF)

List of Service Providers By Island

8:Applying for Medicaid44

Eligibility Requirements

Application

Before You Get Started

What If I’m Not Eligible for Medicaid?

9:Rights and Responsibilities48

State Process

DDD Ombudsman Office

Provider Agency Process

Your Responsibilities

Understanding the Laws That Protect You

10:Resources54

Acronyms

State Officials

State Agencies

Advocacy Agencies

Waiver Services Provider Agencies

Waiver Services Definitions (State Standards)

Sample Forms

Your Notes

Page 4 of 43

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