Form 4 1915(I) Community Transition Plan of Care and Request for Funds - North Dakota

What Is Form 4?

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

FAQ

Q: What is the Form 4 1915(I) Community Transition Plan of Care and Request for Funds?
A: Form 4 1915(I) is a document used in North Dakota to request funding for community transition plans of care.

Q: What is the purpose of the Form 4 1915(I) Community Transition Plan of Care and Request for Funds?
A: The purpose of this form is to request funding for transitioning individuals from institutional settings to community-based care.

Q: Who can use the Form 4 1915(I) Community Transition Plan of Care and Request for Funds?
A: This form can be used by individuals, their families, or their healthcare providers to request funding for transitioning from institutional care to community-based care.

Q: What is a community transition plan of care?
A: A community transition plan of care is a plan that outlines the support and services needed for individuals transitioning from institutional settings to community-based care.

Q: How does the funding for community transition plans work?
A: The funding for community transition plans is provided through the 1915(I) Home and Community-Based Services (HCBS) waiver program. This program allows funds to be used for services and supports that help individuals transition from institutional care to the community.

Q: What types of services and supports can be funded through the 1915(I) HCBS waiver program?
A: The 1915(I) HCBS waiver program can fund a variety of services and supports, including personal care services, home modifications, transportation, and assistive technology.

Q: How can I submit a Form 4 1915(I) Community Transition Plan of Care and Request for Funds?
A: You can submit the form to the appropriate state agency in North Dakota. Contact your local county social services office for more information on where to submit the form.

Q: Are there any eligibility criteria for receiving funding through the 1915(I) HCBS waiver program?
A: Yes, there are eligibility criteria that must be met for individuals to qualify for funding through the 1915(I) HCBS waiver program. These criteria may include age, income, and functional needs assessments.