District of columbia long-term care/waiver medicaid application 2026

1. Click ‘Get Form’ to open the District of Columbia Long-Term Care/Waiver Medicaid Application in the editor.
2. Begin by filling out Section 1, which includes selecting the type of waiver you are applying for: EPD, IDD, or Institutional Transition. Ensure you check the appropriate box.
3. In Section 2, provide your personal information such as name, date of birth, and Social Security number. Be thorough and accurate to avoid delays.
4. Continue to Section 3 to enter your current address and contact information. If applicable, indicate if you are currently residing in a nursing facility.
5. In Section 4, disclose any medical assistance you currently receive. This is crucial for determining your eligibility.
6. Complete Sections 5 through 18 as applicable, providing details about your spouse's information, income sources, assets, and any transfers of assets within the last five years.
7. Review all sections for completeness and accuracy before signing in Section 20. Ensure that all required documentation is attached as per the checklist provided on page 5.

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