DSHS Form 14-416 Eligibility Review for Long Term Services and Supports - Washington

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DSHS Form 14-416 Eligibility Review for Long Term Services and Supports - Washington

What Is DSHS Form 14-416?

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

FAQ

Q: What is DSHS Form 14-416?A: DSHS Form 14-416 is a document used to review eligibility for long term services and supports in Washington.

Q: What is the purpose of the Eligibility Review for Long Term Services and Supports?A: The purpose of the review is to determine if an individual is eligible for long term services and supports provided by DSHS.

Q: Who is eligible for long term services and supports in Washington?A: Eligibility for long term services and supports in Washington is based on factors such as income, assets, age, disability, and need for care.

Q: What information is required for the eligibility review?A: The eligibility review requires information on income, assets, medical history, and current living situation.

Q: How often does the eligibility review need to be completed?A: The eligibility review needs to be completed every 12 months to ensure continued eligibility for long term services and supports.

Q: Are there any fees associated with the eligibility review?A: There are no fees associated with the eligibility review for long term services and supports in Washington.

Q: What happens if the eligibility review determines I am not eligible?A: If the eligibility review determines that you are not eligible, you may be provided with information on other available resources and services.

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Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Italian;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 14-416 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 14-416 Eligibility Review for Long Term Services and Supports - Washington

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