1915(C) Waiver Grievance Form - Kentucky

1915(C) Waiver Grievance Form - Kentucky

1915(C) Waiver Grievance Form is a legal document that was released by the Kentucky Department for Medicaid Services - a government authority operating within Kentucky.

FAQ

Q: What is a 1915(c) waiver?A: A 1915(c) waiver is a provision under the Medicaid program that allows states to provide long-term care services in home and community-based settings rather than institutional settings.

Q: What is a waiver grievance form?A: A waiver grievance form is a form used to file a complaint or express dissatisfaction with the administration or delivery of services under a 1915(c) waiver program.

Q: What can I use a waiver grievance form for?A: You can use a waiver grievance form to raise concerns or complaints regarding the services you receive through a 1915(c) waiver program, such as issues with quality of care, access to services, or the behavior of staff.

Q: How do I submit a waiver grievance form?A: You can submit a waiver grievance form by following the instructions provided on the form, which may include mailing it or delivering it in person to the appropriate office.

Q: What happens after I submit a waiver grievance form?A: After you submit a waiver grievance form, the organization responsible for the waiver program will review your complaint and take appropriate action, which may include investigating the issue and addressing any identified problems.

Q: Can I expect a response to my waiver grievance form?A: Yes, you can expect a response to your waiver grievance form. The organization responsible for the waiver program is required to provide a timely and appropriate response to your complaint and keep you informed of any actions taken.

Q: What should I do if I am not satisfied with the response to my waiver grievance form?A: If you are not satisfied with the response to your waiver grievance form, you may have additional options to escalate your concerns, such as contacting the ombudsman for long-term care or filing an appeal, depending on the specific circumstances and regulations in your state.

ADVERTISEMENT

Form Details:

  • Released on December 20, 2019;
  • The latest edition currently provided by the Kentucky Department for Medicaid 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 printable version of the form by clicking the link below or browse more documents and templates provided by the Kentucky Department for Medicaid Services.

Download 1915(C) Waiver Grievance Form - Kentucky

4.8 of 5 (8 votes)
  • 1915(C) Waiver Grievance Form - Kentucky

    1

  • 1915(C) Waiver Grievance Form - Kentucky, Page 2

    2

  • 1915(C) Waiver Grievance Form - Kentucky, Page 1
  • 1915(C) Waiver Grievance Form - Kentucky, Page 2
Prev 1 2 Next
ADVERTISEMENT