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Click ‘Get Form’ to open the EPD WAIVER TRANSFER FORM in the editor.
Begin by filling out the Beneficiary's information, including their Medicaid ID and Waiver Service(s). Use the drop-down menus to select relevant options.
Next, provide details for both the Discharging Provider and Receiving Provider. Include names, addresses, phone numbers, and emails as required.
Specify the frequency and cost of services along with any necessary notes in the designated fields. Ensure all information is accurate for a smooth transfer process.
Review all entries carefully before submitting. Make sure that all aspects of the transfer are coordinated between agencies as indicated in the form.

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Who is eligible for the My Way program in DC?

Who can Participate? DC residents with IDD who are at least 18 years of age are eligible to participate in My Life, My Way. Participants must: live in their natural home, be eligible to receive Medicaid, and be enrolled in the Individual and Family Support (IFS) wavier.

How do I get an EPD waiver in DC?

If you would like assistance with the application process, please call us at 202-724- 5626. Your Medicaid provider will complete this form to initiate a face-to- face assessment by Liberty Healthcare. This is your application to the EPD Waiver program.

What is service my way?

The Services My Way program supports adults with disabilities (age 18+) and people over the age of 65. It helps you live a more independent life. Instead of going to a nursing home, you can stay in your own home and community. All while getting the support you need to live your life and reach your goals.

What is an AD waiver?

The AD Waiver offers an array of services to support people in their homes. It caters to individuals of all ages who are eligible for Medicaid and have complex medical needs, want to live at home, and can be served safely at home.

What is the difference between a CADI waiver and a DD waiver?

DD waiver is better for my autistic boys because it captures more of their behavior issues while Cadi is a smaller budget because it doesnt cover the behavior issues that much. DD does have a stricter criteria for approval as well.

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EPD WAIVER TRANSFER FORM - dhcf dc 2026

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Who is eligible for the My Way program in DC?

How do I get an EPD waiver in DC?

What is service my way?

What is an AD waiver?

What is the difference between a CADI waiver and a DD waiver?

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EPD WAIVER TRANSFER FORM - dhcf dc 2026

Here's how it works

How to use or fill out EPD WAIVER TRANSFER FORM - dhcf dc with our platform

See more EPD WAIVER TRANSFER FORM - dhcf dc versions

Complete this form in 5 minutes or less

Got questions?

Who is eligible for the My Way program in DC?

How do I get an EPD waiver in DC?

What is service my way?

What is an AD waiver?

What is the difference between a CADI waiver and a DD waiver?

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