Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 403 - MEDICAID HOME AND COMMUNITY-BASED WAIVER SERVICES (HCBS) FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Chapter 2 - APPLICATION, ELIGIBILITY, FUNDING, REGISTRY, AND APPEALS
Section 403-2-003 - APPLICATION
Current through September 17, 2024
In order for an application to be valid, it must include:
(A) The name and mailing address of the applicant;
(B) The signature of the applicant, guardian, legally responsible individual, or parent; and
(C) Any documentation including, but not limited to, educational or medical records or reports requested by the Department necessary to determine eligibility.
003.01 APPLICATION SUBMITTAL. An application may be submitted in person, by mail, fax, email, or by applying online.
003.02 ASSISTANCE WITH APPLICATION. The Department shall provide an applicant general help with the application process, upon request, in a manner that is accessible to individuals with disabilities or limited English proficiency.
003.03 AMENDMENT TO APPLICATION. An applicant may amend information in an application at any time prior to the date of decision.
003.04 PROMPT ACTION. The Department shall send the applicant a written notification of the decision on an application within 60 days from the date a valid application is received.
003.05 WITHDRAWAL. An applicant may voluntarily withdraw an application.
003.06 WRITTEN NOTIFICATION. The Department will provide timely notice of all decisions. The Notice of Decision shall be dated and mailed at least ten calendar days before the date an adverse action becomes effective. A written notification shall contain:
