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 Korean. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 14-416?
A: DSHS Form 14-416 is a form used for the eligibility review of long-term services and supports in Washington.
Q: Who is eligible for long-term services and supports in Washington?
A: Eligibility for long-term services and supports in Washington is determined based on various factors including income, assets, and functional abilities.
Q: What is the purpose of the eligibility review?
A: The purpose of the eligibility review is to determine if an individual still meets the requirements for receiving long-term services and supports.
Q: How often is the eligibility review conducted?
A: The eligibility review is typically conducted annually, although some cases may require more frequent reviews.
Q: What happens if someone is found ineligible during the review?
A: If someone is found ineligible during the review, their long-term services and supports may be discontinued or modified.
Q: Is the form available in languages other than English?
A: Yes, the form is available in Korean and other languages.
Q: Who can help me with filling out the form?
A: You can seek assistance from a social worker or a representative from the Washington State Department of Social and Health Services.
Q: Is there a deadline for submitting the form?
A: It is important to submit the form by the specified deadline to ensure continuity of long-term services and supports.
Form Details:
Download a printable version of DSHS Form 14-416 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.