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OLTL Service Authorization Form HCBS Waiver Programs

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The OLTL Service Authorization Form is designed for the HCBS Waiver Programs, facilitating the authorization of various services for consumers in need of assistance. It includes sections for personal information, service details, and specific needs related to activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The form outlines different waiver programs available, types of services authorized, and requires information on service provision dates, preferred schedules, desired outcomes, and any special conditions or unique circumstances.

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