Form DHS-DD-716 Home / Community-Based Services Eligibility Determination Form - South Dakota

Form DHS-DD-716 Home / Community-Based Services Eligibility Determination Form - South Dakota

What Is Form DHS-DD-716?

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

FAQ

Q: What is the DHS-DD-716 form?
A: The DHS-DD-716 form is the Home/Community-Based Services Eligibility Determination Form.

Q: What is the purpose of the DHS-DD-716 form?
A: The purpose of the form is to determine eligibility for Home/Community-Based Services in South Dakota.

Q: Who is eligible for Home/Community-Based Services in South Dakota?
A: To be eligible, an individual must have a developmental disability and meet certain criteria established by the state.

Q: What information is required on the DHS-DD-716 form?
A: The form requires information about the individual's personal details, medical history, disabilities, and support needs.

Q: Are there any fees associated with the DHS-DD-716 form?
A: No, there are no fees associated with the form. However, there may be costs associated with the services, depending on the individual's financial situation.

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Form Details:

  • Released on September 1, 2016;
  • The latest edition provided by the South Dakota Department of Human Services;
  • 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 printable version of Form DHS-DD-716 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Human Services.

Download Form DHS-DD-716 Home / Community-Based Services Eligibility Determination Form - South Dakota

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