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Louisiana dom of choice list form

Louisiana dom of choice list form 2025

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The document is a Medicaid Freedom of Choice (FOC) request form for waiver services, allowing providers to submit new requests, updates, or notifications regarding agency closures. It requires detailed information about the provider, including current and former names, addresses, contact details, and services offered. Providers must ensure their information is up-to-date to remain on the FOC list and are responsible for notifying the Louisiana Department of Health and Hospitals of any changes within ten days.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (85 Votes)
2019	4.2 Satisfied (120 Votes)
2011	4.4 Satisfied (33 Votes)

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What is the self direction program in Louisiana?

Self-Direction is a service delivery option which allows participants to become the employers of the people they choose to hire to provide supports for them. As the employers, participants are responsible for recruiting, training, supervising, and managing the people, they choose to hire.

What is the Louisiana waiver program?

Residential Options Waiver offers people of all ages services designed to support them to move from ICFs/DD and nursing facilities to community-based settings, and to serve as an alternative to institutionalization.

What is residential options waiver Louisiana?

The Residential Options Waiver (ROW) program in Louisiana provides support and services to individuals with developmental disabilities. This program aims to provide individuals with the opportunity to live in a community-based setting rather than a nursing facility or institution.

What is community choice waiver Louisiana?

The Community Choices Waiver (CCW) serves seniors and persons with adult onset disabilities as an alternative to nursing facility care. Based on a standardized assessment, each recipient is provided a budget based on acuity to create an individual service package.

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