Get Mrdd-1386-0907 - Department Of Health And Human Resources - Wvdhhr

The MRDD-1386-0907 form is a critical document used for eligibility determination in the Title XIX MR/DD Waiver Services Program. This guide will provide you with an easy-to-follow approach on how to fill out the form online, ensuring that all required information is accurately conveyed.

Follow the steps to successfully complete the MRDD-1386-0907 form.

1. To obtain the MRDD-1386-0907 form, press the ‘Get Form’ button to access the document.
2. Begin filling out the applicant’s personal information. This includes the full name, address, date of birth, and contact information. Ensure all details are accurate and up-to-date.
3. Provide information regarding the diagnosis. This section is crucial as eligibility for the program is dependent on specific diagnoses of mental retardation or related conditions.
4. Complete the section about the applicant's medical history. Include past medical evaluations, treatments, and other pertinent medical information that supports the claim for eligibility.
5. Detail the applicant's daily living skills and any assistance required. This helps to establish the level of care needed and should include specifics about self-care, communication skills, and socialization.
6. In the section for supporting documentation, attach any required paperwork, such as evaluations from health professionals or additional assessments that substantiate the claims made in the form.
7. Review all information for completeness and accuracy. Ensure that no sections are left blank and double-check that all provided information matches supporting documents.
8. Finally, save your changes and choose to download, print, or share the filled form as necessary for submission.

Complete your MRDD-1386-0907 form online today to ensure timely processing of your eligibility request.