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Form ODA1044 Annual Enrollment Agreement - Medicaid-Funded Hcbs Passport or Assisted Living Waiver Program - Ohio
What Is Form ODA1044?
This is a legal form that was released by the Ohio Department of Aging - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is ODA1044?
A: ODA1044 is the Annual Enrollment Agreement for the Medicaid-Funded HCBS Passport or Assisted Living Waiver Program in Ohio.
Q: What is the Medicaid-Funded HCBS Passport program?
A: The Medicaid-Funded HCBS Passport program provides home and community-based services for eligible individuals in Ohio.
Q: What is the Assisted Living Waiver program?
A: The Assisted Living Waiver program is a Medicaid-funded program that helps eligible individuals access assisted living services in Ohio.
Q: Who can participate in the Medicaid-Funded HCBS Passport or Assisted Living Waiver Program?
A: Eligible individuals who need long-term care services and meet the program's requirements can participate.
Q: What does the Annual Enrollment Agreement involve?
A: The Annual Enrollment Agreement is a form that participants need to complete each year to continue receiving Medicaid-funded services.
Q: What information is required to complete the Annual Enrollment Agreement?
A: The Annual Enrollment Agreement requires information such as personal details, contact information, and medical history.
Q: When is the deadline to submit the Annual Enrollment Agreement?
A: The deadline to submit the Annual Enrollment Agreement may vary, so it's important to check with your local Area Agency on Aging for specific dates.
Q: What happens after I submit the Annual Enrollment Agreement?
A: After you submit the Annual Enrollment Agreement, your eligibility for the Medicaid-funded services will be reviewed, and if approved, you will continue to receive the services for another year.
Q: Can I make changes to my Annual Enrollment Agreement?
A: If you need to make changes to your Annual Enrollment Agreement, you should contact your local Area Agency on Aging for assistance.
Form Details:
- Released on March 1, 2014;
- The latest edition provided by the Ohio Department of Aging;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ODA1044 by clicking the link below or browse more documents and templates provided by the Ohio Department of Aging.
Download Form ODA1044 Annual Enrollment Agreement - Medicaid-Funded Hcbs Passport or Assisted Living Waiver Program - Ohio
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