Low Intensity Support Services (Liss) Request Form - Maryland

Low Intensity Support Services (Liss) Request Form - Maryland

Low Intensity Support Services (Liss) Request Form is a legal document that was released by the Maryland Department of Health - a government authority operating within Maryland.

FAQ

Q: What is the Low Intensity Support Services (LISS) Request Form?
A: The LISS Request Form is a document used in Maryland to request low intensity support services.

Q: What are low intensity support services?
A: Low intensity support services refer to services that provide minimal assistance or support to individuals with disabilities or special needs.

Q: Who can use the LISS Request Form?
A: The LISS Request Form can be used by individuals with disabilities or special needs in Maryland who require low intensity support services.

Q: What types of services can be requested using the LISS Request Form?
A: Services such as respite care, personal care, assistive technology devices, and transportation assistance can be requested using the LISS Request Form.

Q: How do I fill out the LISS Request Form?
A: You need to provide personal information, details about the type of service needed, and any supporting documentation.

Q: Is there a fee for using low intensity support services?
A: Yes, there may be a fee associated with accessing low intensity support services. The fee amount will depend on the individual's income and ability to pay.

Q: Who can I contact for more information about the LISS Request Form?
A: You can contact the Maryland Department of Disabilities for more information about the LISS Request Form and low intensity support services.

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Form Details:

  • Released on June 10, 2014;
  • The latest edition currently provided by the Maryland Department of Health;
  • 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 printable version of the form by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.

Download Low Intensity Support Services (Liss) Request Form - Maryland

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