Application for 1915(c) HCBS Waiver: KY 0333 R04 00 - Jan 01, 2017-2026

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  1. Click ‘Get Form’ to open the Application for 1915(c) HCBS Waiver in our platform.
  2. Begin by filling out the 'Request Information' section. Provide details such as the State of Kentucky's request for approval and the program title.
  3. In the 'Type of Request' field, select 'renewal' and specify the requested approval period (3 years or 5 years).
  4. Complete the 'Level(s) of Care' section by checking all applicable levels that apply to your waiver request.
  5. Proceed to fill out each appendix as required, ensuring you provide detailed information about participant access, eligibility, services, and quality improvement strategies.
  6. Review all entered information for accuracy before submitting. Use our editor’s features to make any necessary adjustments easily.

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