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Individual Information Name: Last Address: City: First MI TABS ID# (if known) Date of Birth: Street State: ZIP Code: Social Security Number: Medicaid Number: Phone: DDSO: Bernard Fineson Section II. MSC Vendor/DDSO Information Vendor/DDSO Name: Vendor address: City: State: ZIP Code: TABS Program Code: Section III. Individual Signature I am requesting participation in MSC effective (date) I have chosen the MSC Vendor/DDSO identified above to provide the MSC services I want and n.

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A person who is eligible and lives in NYS can request to be enrolled in the HCBS waiver by contacting the DDSO or a provider agency that serves the county in which the person lives.

The application process takes 3-6 months. Some services, such as personal care, require no additional wait. You can expect to wait five years or longer before getting Medicaid waiver services. New Jersey has several Medicaid waiver programs, and wait times vary by program.

NJ FamilyCare is the name for New Jersey's Medicaid program. It helps qualified New Jersey residents get access to affordable health insurance.

Program Eligibility DDD administers two Medicaid waiver programs, the Supports Program and Community Care Program.

Program Goal To provide services and supports for adults and children of all ages and their families to enable them to remain at home or in community residential settings.

The Traumatic Brain Injury Medicaid Waiver The Traumatic Brain Injury (TBI) Medicaid Waiver is for persons 22-65 with a brain injury, and provides case management, community residential services, therapies, behavioral programs, day programming, personal care assistant, transportation, environmental modifications, ...

Income & Asset Limits for Eligibility 2023 New Jersey Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Income LimitIncome LimitInstitutional / Nursing Home Medicaid$2,742 / month*$5,484 / month*Home and Community Based Services$2,742 / month†$5,484 / month†1 more row • Feb 7, 2023

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232