DSHS Form 14-416 Eligibility Review for Long Term Services and Supports - Washington (Lao)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Lao. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 14-416?
A: DSHS Form 14-416 is an eligibility review form for long term services and supports in Washington.

Q: What is the purpose of DSHS Form 14-416?
A: The purpose of DSHS Form 14-416 is to determine eligibility for long term services and supports in Washington.

Q: Who uses DSHS Form 14-416?
A: DSHS Form 14-416 is used by individuals in Washington who are applying for or receiving long term services and supports.

Q: What information is required on DSHS Form 14-416?
A: DSHS Form 14-416 requires information about the individual's medical condition, income, resources, and living situation.

Q: How often do I need to complete DSHS Form 14-416?
A: The frequency of completing DSHS Form 14-416 depends on the individual's circumstances, but it is typically reviewed annually or as needed.

Q: Are there any fees associated with DSHS Form 14-416?
A: There are no fees associated with completing DSHS Form 14-416.

Q: Can I get help completing DSHS Form 14-416?
A: Yes, you can get help completing DSHS Form 14-416 from a DSHS representative or a community partner.

Q: What happens after I submit DSHS Form 14-416?
A: After submitting DSHS Form 14-416, your eligibility for long term services and supports will be reviewed and a determination will be made.

Q: What should I do if my circumstances change after submitting DSHS Form 14-416?
A: If your circumstances change after submitting DSHS Form 14-416, you should notify DSHS as soon as possible to update your information.