District of columbia long-term care/waiver medicaid application 2025

Get Form
district of columbia long-term care/waiver medicaid application Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out district of columbia long-term care/waiver medicaid application with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  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.

Start using our platform today to simplify your application process for free!

See more district of columbia long-term care/waiver medicaid application versions

We've got more versions of the district of columbia long-term care/waiver medicaid application form. Select the right district of columbia long-term care/waiver medicaid application version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2018 4.8 Satisfied (41 Votes)
2016 4.4 Satisfied (142 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
How to Apply for DC Medicaid? Online: At districtdirect.dc.gov. Mobile App: Available on Google Play or Apple App stores. By Phone: Call the Department of Human Services Economic Security Administration Public Benefits Call Center at (202) 727-5355. By Mail: Download an application form here and mail to;
Ohio Home Care Waiver Eligibility Criteria Individuals are eligible for the Ohio Home Care Waiver if they are: Between 18 and 59 years of age. Living in their own home or apartment. Requiring hands-on assistance with the activities of daily living.
Traditional Medicaid is a great option for those needing general healthcare services, while Medicaid Waivers are designed for individuals who need long-term, specialized care in a home or community setting.
The Medicaid waiver programs eligibility rules vary, but a person must meet their states level of care requirement. This means an individual qualifies for full-time inpatient care at an appropriate facility but remains at home.
Finally, although people may wait a long time to receive waiver services36 months on averagemost people are eligible for other types of HCBS while they wait.
be ready to get more

Complete this form in 5 minutes or less

Get form