Nebraska Home and Community-Based Waiver Notification of Death - Draft - Nebraska

Nebraska Home and Community-Based Waiver Notification of Death - Draft - Nebraska

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.

FAQ

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.

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Form Details:

  • The latest edition currently provided by the Nebraska Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Nebraska Home and Community-Based Waiver Notification of Death - Draft - Nebraska

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