Forms & Documents

Every waiver application in one place. Select your state to view and download official forms.

Alabama

AL
3 programs0 forms
ABD MedicaidE&DHome Meals

Alaska

AK
11 programs0 forms
ABD MedicaidALIMedicare SavingsSNAP/FoodAlaska Senior MedicareEnergy AssistanceLTC OmbudsmanHome MealsCaregiver SupportSenior Legal AidProperty Tax Relief

Arizona

AZ
11 programs0 forms
ABDALTCSQMB/SLMB/QINutrition Assistance ProgramSHIPLIHEAPSenior Property ValuationLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Arkansas

AR
11 programs0 forms
AABDMedicare SavingsSNAP/FoodARK Choices Program WaiverSHIIPPACEEnergy AssistanceLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

California

CA
18 programs0 forms
Medi-Cal for Aged and DisabledIHSSMedicare SavingsMSSPSNAP/FoodSSI/SSP Cash AssistanceHICAP Medicare CounselingALWEnergy AssistanceCaregiver SupportCalifornia PACE ProgramsProperty Tax ReliefHome Meals250% California WorkingWeatherizationLTC OmbudsmanSenior Legal AidSCSEP

Colorado

CO
12 programs0 forms
ABD MedicaidEBDMedicare Buy-In ProgramsSNAP/FoodSHIPColorado PACE ProgramLEAPPTEXLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Connecticut

CT
14 programs0 forms
ABD MedicaidQMB/SLMB/QICHCPESNAP/FoodSSI SupplementConnecticut PACE ProgramProperty Tax ReliefConnPace (ConnecticutCEAPCaregiver SupportSHIPHome MealsSenior Legal AidLTC Ombudsman

Delaware

DE
10 programs0 forms
ABD MedicaidDiamond State Health PlanQMB/SLMB/QISNAPEnergy AssistanceDelaware SHIP MedicareLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Florida

FL
10 programs0 forms
MEDS-ADSMMC-LTCQMB/SLMB/QISNAPSHINE (Serving HealthCaregiver SupportLIHEAPLTC OmbudsmanHome MealsSenior Legal Aid

Georgia

GA
10 programs0 forms
ABDMedicare SavingsEDWPSNAPLIHEAPHome MealsCaregiver SupportGSMPSenior Legal AidLTC Ombudsman

Hawaii

HI
3 programs0 forms
ABDHCBSAABD

Idaho

ID
10 programs0 forms
ABD MedicaidA&DMedicare SavingsSNAPSHIPLIHEAPLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Illinois

IL
13 programs0 forms
AABDHCBS Medicaid Waiver ProgramsMedicare SavingsSNAP/FoodPACEAABDEnergy AssistanceProperty Tax ReliefIllinois SHIP (Senior HealthLTC OmbudsmanHome MealsSenior Legal AidCaregiver Support

Indiana

IN
10 programs0 forms
Indiana PathWays for AgingPathWays for Aging WaiverMedicare SavingsSNAPSHIPIEAPNFCSPLTC OmbudsmanHome MealsSenior Legal Aid

Iowa

IA
3 programs0 forms
ABDNursing Home MedicaidElderly Waiver Program (HCBS

Kansas

KS
11 programs0 forms
ABD MedicaidHome and Community BasedKanCare Medicare Buy-InSNAP/FoodPACESenior Health InsuranceEnergy AssistanceCaregiver SupportLTC OmbudsmanHome MealsSenior Legal Aid

Kentucky

KY
12 programs0 forms
ABDHCBQMB/SLMB/QISNAPPACEKentucky SHIP (State HealthLIHEAPNFCSPLTC OmbudsmanDAILSenior Legal AidProperty Tax Relief

Louisiana

LA
10 programs0 forms
ABD MedicaidMedicare SavingsSNAP/FoodAdult Day Health Care WaiverEnergy AssistanceLA SHIPHome MealsCaregiver SupportLTC OmbudsmanSenior Legal Aid

Maine

ME
12 programs0 forms
MaineCare Aged, Blind, andMaineCare Elderly and AdultsMedicare SavingsSNAP/FoodSHIPEnergy AssistanceSSI SupplementLTC OmbudsmanProperty Tax ReliefHome MealsSenior Legal AidCaregiver Support

Maryland

MD
5 programs0 forms
Maryland Medical Assistance -Maryland Medical Assistance -Maryland Medical Assistance -Maryland HCBS Waivers -Maryland EID Program -

Massachusetts

MA
14 programs0 forms
ABD MedicaidFEWQMB/SLMB/QISNAP/FoodPACEEnergy AssistanceSPAPSHIP (State Health InsuranceClause 41C Senior CircuitLTC OmbudsmanState Supplement to SSIHome MealsSenior Legal AidCaregiver Support

Michigan

MI
13 programs0 forms
ABD MedicaidMI Choice Waiver ProgramMedicare SavingsSNAP/FoodMichigan PACEMichigan SHIPState Emergency ReliefCaregiver SupportProperty Tax ReliefLTC OmbudsmanHome MealsSSI SupplementSenior Legal Aid

Minnesota

MN
13 programs0 forms
MAEWMedicare SavingsSNAPPACESHIPMSALIHEAPPTFLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Mississippi

MS
10 programs0 forms
ABD MedicaidElderly and Disabled WaiverMedicare SavingsSNAP/FoodEnergy AssistanceMississippi SHIP (StateHome MealsCaregiver SupportLTC OmbudsmanSenior Legal Aid

Missouri

MO
12 programs0 forms
ABDADWMedicare SavingsSNAP/FoodPACELIHEAPSHIPProperty Tax ReliefLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Montana

MT
3 programs0 forms
ABD MedicaidBig Sky Waiver ProgramMontana Medicaid for Workers

Nebraska

NE
10 programs0 forms
ABD MedicaidNebraska Aged and DisabledMedicare SavingsSNAPSHIPCaregiver SupportLIHEAPLTC OmbudsmanHome MealsSenior Legal Aid

Nevada

NV
11 programs0 forms
MAABDHCBSQMB/SLMB/QISNAPPACELIHEAPCaregiver SupportSHIPLTC OmbudsmanHome MealsSenior Legal Aid

New Hampshire

NH
11 programs0 forms
ABD MedicaidChoices for IndependenceMedicare SavingsSNAP/FoodEnergy AssistanceSHINEProperty Tax ReliefLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

New Jersey

NJ
14 programs0 forms
ABDMLTSSMedicare SavingsSNAP/FoodPAAD (PharmaceuticalEnergy AssistanceNew Jersey PACE (Program ofNew Jersey SHIP (State HealthProperty Tax ReliefCaregiver SupportLTC OmbudsmanHome MealsNew Jersey SSI StateSenior Legal Aid

New Mexico

NM
10 programs0 forms
Centennial Care Aged, Blind,QMBCentennial Care Home andSNAP/FoodSHIPLTC OmbudsmanLIHEAPHome MealsSenior Legal AidCaregiver Support

New York

NY
14 programs0 forms
ABD MedicaidQMB/SLMB/QISNAPEPICHCBSHIICAPLIHEAPSSIPACELTC OmbudsmanHome MealsProperty Tax ReliefSenior Legal AidCaregiver Support

North Carolina

NC
13 programs0 forms
ABD MedicaidMedicare SavingsSNAPCAP/DASHIIPPACELIEAPCaregiver SupportLTC OmbudsmanHome MealsSSI SupplementSenior Legal AidProperty Tax Relief

North Dakota

ND
10 programs0 forms
ABDHCBSMedicare SavingsSNAP/FoodEnergy AssistanceSMPSenior Legal AidCaregiver SupportLTC OmbudsmanHome Meals

Ohio

OH
12 programs0 forms
ABDPASSPORT WaiverMedicare Premium AssistanceSNAP/FoodMyCare Ohio PACEOSHIIPEnergy AssistanceCaregiver SupportLTC OmbudsmanProperty Tax ReliefHome MealsSenior Legal Aid

Oklahoma

OK
10 programs0 forms
SoonerCare Aged Blind andADvantage Waiver ProgramMedicare SavingsSNAP/FoodSHIPLIHEAPCaregiver SupportLTC OmbudsmanCSFPSenior Legal Aid

Oregon

OR
3 programs0 forms
APDOPI-MCaregiver Support

Pennsylvania

PA
14 programs0 forms
ABD MedicaidCommunity HealthChoicesMedicare SavingsSNAP/FoodPACEPACEEnergy AssistancePennsylvania SHIPProperty Tax ReliefLTC OmbudsmanHome MealsCaregiver SupportSSI SupplementSenior Legal Aid

Rhode Island

RI
13 programs0 forms
EADLTSSMedicare SavingsSNAP/FoodPACEEnergy AssistanceSSI SupplementRhode Island SHIPProperty Tax ReliefLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

South Carolina

SC
11 programs0 forms
ABDCommunity Choices WaiverMedicare SavingsSNAP/FoodPACESouth Carolina SHIPEnergy AssistanceLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

South Dakota

SD
10 programs0 forms
ABD MedicaidHOPE WaiverMedicare SavingsSNAPLIHEAPSHIPHome MealsCaregiver SupportLTC OmbudsmanSenior Legal Aid

Tennessee

TN
10 programs0 forms
TennCare CHOICES in Long-TermMedicare SavingsTennCare CHOICES HCBS WaiverSNAP/FoodSHIPEnergy AssistanceLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Texas

TX
15 programs0 forms
STAR+PLUS Home andMedicare SavingsSNAP/FoodTexas Medicaid for theTexas SHIP Medicare CounselingCEAP/LIHEAPPrimary Home Care (CommunityRespite CareHome MealsTexas PACE ProgramsLTC OmbudsmanWeatherizationSenior Legal AidTexas Senior Companion ProgramSCSEP

Utah

UT
5 programs0 forms
ABD MedicaidAging Waiver (Home andMedicaid ExpansionNew Choices WaiverPhysical Disabilities Waiver

Vermont

VT
12 programs0 forms
MABDChoices for Care HCBS WaiverQMB/SLMB/QISNAPSSI SupplementGeneral Assistance FuelProperty Tax ReliefSHIPLTC OmbudsmanCaregiver SupportSenior Legal AidHome Meals

Virginia

VA
12 programs0 forms
ABDMedicare SavingsCommonwealth Coordinated CareSNAPPACEVICAPLIHEAPCaregiver SupportLTC OmbudsmanHome MealsProperty Tax ReliefVirginia Senior Citizens Law

Washington

WA
10 programs0 forms
ABD MedicaidMedicare SavingsSNAP/FoodTailored Supports for OlderWashington State HealthLTC OmbudsmanEnergy AssistanceSenior Legal AidCaregiver SupportHome Meals

West Virginia

WV
10 programs0 forms
ABD MedicaidADWMedicare SavingsSNAPLIEAPSMPLTC OmbudsmanHome MealsCaregiver SupportSenior Legal Aid

Wisconsin

WI
14 programs0 forms
Medicaid for the Elderly,Family Care IRIS andMedicare SavingsSNAP/FoodWisconsin PACE ProgramWisconsin SHIP (Senior HealthWisconsin SeniorCareWHEAPProperty Tax ReliefLTC OmbudsmanHome MealsSSI SupplementSenior Legal AidCaregiver Support

Wyoming

WY
10 programs0 forms
ABD MedicaidCCWMedicare SavingsSNAPLIHEAPSHIIPLTC OmbudsmanSenior Legal AidHome MealsCaregiver Support