Form DHS / FIA9709R Long-Term Care / Waiver Medical Assistance Redetermination Application - Maryland

What Is Form DHS/FIA9709R?

This is a legal form that was released by the Maryland Department of Human Services - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHS/FIA9709R form?
A: The DHS/FIA9709R form is the Long-Term Care/Waiver Medical Assistance Redetermination Application in Maryland.

Q: What is the purpose of this form?
A: The purpose of this form is to apply for redetermination of eligibility for long-term care/waiver medical assistance in Maryland.

Q: Who needs to complete this form?
A: This form needs to be completed by individuals who are currently receiving long-term care/waiver medical assistance in Maryland and need to reapply for continued coverage.

Q: What information is required on this form?
A: This form requires personal information, income details, asset information, medical history, and other relevant information to determine eligibility for continued assistance.

Q: Are there any specific eligibility criteria for receiving long-term care/waiver medical assistance?
A: Yes, there are specific eligibility criteria such as income and asset limits, medical need for long-term care, and being a resident of Maryland.

Q: Is there a deadline for submitting this form?
A: Yes, there is a deadline for submitting this form. It is important to submit the form within the specified timeframe to avoid any disruption in benefits.

Q: Can I get help in filling out this form?
A: Yes, you can seek assistance from the Maryland Department of Human Services or your local county office to help you fill out this form.

Q: What happens after submitting the form?
A: After submitting the form, the Maryland Department of Human Services will review your application and supporting documents to determine your eligibility for continued long-term care/waiver medical assistance.

Q: How will I be informed about the decision on my application?
A: You will receive a written notification from the Maryland Department of Human Services regarding the decision on your application.