Get Ky Application For A 1915(c) Home And Community - Based Services Waiver 2015

Filling out the KY Application for a 1915(c) Home and Community-Based Services Waiver is an important step for those seeking to access vital community services. This guide provides clear and supportive instructions on completing the application online, ensuring that you understand each section and what information is required.

Follow the steps to complete your application efficiently.

1. Click the 'Get Form' button to access the application form. This will open it in an editable format, where you can begin entering your information.
2. Fill out the Request Information section, which includes details such as the State's request for approval, the program title, and the type of request (renewal or new). Make sure to provide accurate details to avoid delays.
3. In the Level(s) of Care section, indicate the applicable care levels. This includes specifying the type of care that the waiver services will address, such as nursing facility or hospital care.
4. Address the Concurrent Operation with Other Programs section. Indicate whether this waiver operates alongside any other programs and provide the necessary details about those programs.
5. Complete the Brief Waiver Description. This section requires you to summarize the purpose, goals, and how the waiver services will be delivered to eligible participants.
6. Fill out the Components of the Waiver Request. This includes detailed information about waiver administration, participant eligibility, services provided, and the rights of the participants. Make sure to complete each subsection fully.
7. Review and confirm the information provided in the Assurance and Quality Improvement sections to ensure that all necessary safeguards and quality measures are established.
8. Save your changes, then download the filled application or print it for submission. Ensure you have retained a copy for your records.

Complete your application online today to access the services you need!