Form DS2200 Medicaid Waiver Consumer Choice of Services / Living Arrangement Statement - California

Form DS2200 Medicaid Waiver Consumer Choice of Services / Living Arrangement Statement - California

What Is Form DS2200?

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

FAQ

Q: What is Form DS2200?
A: Form DS2200 is the Medicaid Waiver Consumer Choice of Services/Living Arrangement Statement for California.

Q: What is a Medicaid waiver?
A: A Medicaid waiver is a program that allows certain individuals to receive long-term care services outside of a nursing home or other institution.

Q: What does the DS2200 form allow for in California?
A: The DS2200 form allows Medicaid recipients in California to choose their preferred services and living arrangements for long-term care.

Q: Who is eligible to complete the DS2200 form?
A: Individuals who are enrolled in Medicaid in California and in need of long-term care services are eligible to complete the DS2200 form.

Q: How can I obtain a copy of the DS2200 form?
A: You can obtain a copy of the DS2200 form from the California Department of Health Care Services or from your local Medicaid office.

Q: Can I change my choices after submitting the DS2200 form?
A: Yes, you can make changes to your choices on the DS2200 form at any time by contacting your Medicaid case worker or the appropriate agency.

Q: What should I include on the DS2200 form?
A: On the DS2200 form, you should include your preferred services, living arrangements, and any additional information requested by the form.

Q: Are there any fees associated with submitting the DS2200 form?
A: There are no fees associated with submitting the DS2200 form in California.

Q: How long does it take for the DS2200 form to be processed?
A: The processing time for the DS2200 form may vary, but it is typically within a few weeks.

Q: Can I have someone assist me in completing the DS2200 form?
A: Yes, you can have a family member, caregiver, or advocate assist you in completing the DS2200 form if needed.

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Form Details:

  • Released on February 1, 2000;
  • The latest edition provided by the California Department of Developmental Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DS2200 by clicking the link below or browse more documents and templates provided by the California Department of Developmental Services.

Download Form DS2200 Medicaid Waiver Consumer Choice of Services / Living Arrangement Statement - California

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