Form ODM02399 Request for Medicaid Home and Community-Based Services (Hcbs) Waiver - Ohio

Form ODM02399 Request for Medicaid Home and Community-Based Services (Hcbs) Waiver - Ohio

What Is Form ODM02399?

This is a legal form that was released by the Ohio Department of Medicaid - 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 the ODM02399 form?
A: The ODM02399 form is a request for Medicaid Home and Community-Based Services (HCBS) waiver in Ohio.

Q: Who can use the ODM02399 form?
A: The ODM02399 form can be used by individuals who are seeking Medicaid Home and Community-Based Services (HCBS) waiver in Ohio.

Q: What is a Medicaid Home and Community-Based Services (HCBS) waiver?
A: A Medicaid Home and Community-Based Services (HCBS) waiver is a program that allows eligible individuals to receive long-term care services in their own homes or community settings instead of in a nursing home or institution.

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Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Ohio Department of Medicaid;
  • 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 ODM02399 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM02399 Request for Medicaid Home and Community-Based Services (Hcbs) Waiver - Ohio

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  • Form ODM02399 Request for Medicaid Home and Community-Based Services (Hcbs) Waiver - Ohio, Page 1
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