When your loved one is declining, the paperwork often has not caught up. Answer a few questions about care needs, never about identity, and get the documentation needs like these are usually built on, who writes each piece, and the order to request them in.
Optional
If you have the support plan or a service authorization in front of you, type what it lists. Residential Habilitation at a level such as Standard, Moderate, Extensive 1 or Extensive 2. Personal Supports hours. Skilled nursing hours per day or per week. Companion. Behavior Analysis. If you do not know, that is an answer too, and it is the first thing to ask your coordinator for.
Please leave out names, dates of birth, and Medicaid numbers. Nothing you type here leaves your browser unless you choose to send it to us.
Optional
If you have the Questionnaire for Situational Information, the wording matters more than the scores. Type or paste what it says about their medical and behavioral needs. That language is what a reviewer reads, and it is usually where the gap is most visible.
Please leave out names, dates of birth, and Medicaid numbers. Nothing you type here leaves your browser unless you choose to send it to us.
Check anything that happened, even once. Each of these leaves a paper trail you can request.
Optional
Compared with a year ago. Write it the way you would say it out loud to someone who knows your loved one. This is the part no checkbox captures, and it is usually the part a physician finds most useful.
Please leave out names, dates of birth, and Medicaid numbers. Nothing you type here leaves your browser unless you choose to send it to us.
Check any area where things have changed or feel hard. Only the areas you check will open up with more detailed questions.
Optional
If someone has said no, or said it is not available, write down what they said as closely as you can remember. The exact wording often changes what you should ask for next.
Please leave out names, dates of birth, and Medicaid numbers. Nothing you type here leaves your browser unless you choose to send it to us.
This checklist is for document preparation and education. It is not clinical advice and it is not representation. If you are appealing a decision, your waiver support coordinator, your own attorney, or the state's designated advocacy organization can help you with that process.
Tell us a little about your loved one and a member of our team will reach out.
🌐 Our team speaks English, Spanish, Haitian Creole, and Portuguese. We're here to help your family in the language you feel most comfortable with.
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