Nebraska Home and Community-Based Waiver Notification of Death - Draft is a legal document that was released by the Nebraska Department of Health and Human Services - a government authority operating within Nebraska.
Q: What is the Nebraska Home and Community-Based Waiver?
A: The Nebraska Home and Community-Based Waiver is a program that provides services and support to individuals with disabilities who choose to live in their own homes or in other community settings.
Q: What is the purpose of the Notification of Death form?
A: The Notification of Death form is used to inform the Nebraska Home and Community-Based Waiver program of the death of an individual who was receiving services and support through the program.
Q: Who needs to complete the Notification of Death form?
A: The Notification of Death form should be completed by the person responsible for the individual's care or the legal representative of the deceased individual.
Q: What information is required on the Notification of Death form?
A: The Notification of Death form requires information such as the individual's name, date of birth, date of death, and the person completing the form's contact information.
Q: How do I submit the completed Notification of Death form?
A: The completed Notification of Death form can be submitted by mail, email, or fax to the Nebraska Home and Community-Based Waiver program.
Q: What happens after the Notification of Death form is submitted?
A: Once the Notification of Death form is submitted, the Nebraska Home and Community-Based Waiver program will update their records and discontinue services for the deceased individual.
Q: Is there any financial assistance available after the death of an individual receiving services through the Nebraska Home and Community-Based Waiver?
A: No, there is no financial assistance available after the death of an individual receiving services through the Nebraska Home and Community-Based Waiver. However, the program can provide information on other resources and support available.
Q: Who should I contact if I have questions or need assistance with the Notification of Death form?
A: If you have questions or need assistance with the Notification of Death form, you can contact the Nebraska Home and Community-Based Waiver program directly.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Health and Human Services.