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{class="scroll_to"} 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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