Describe all services the beneficiary is receiving or is authorized to receive under any program other than the Home and Community-Based Alternatives Waiver.

NONWAIVER SERVICES

Describe all services the beneficiary is receiving or is authorized to receive under any program other than the Home and Community-Based Alternatives Waiver.

For each service, list the authorized frequency of the service, and the frequency that the service is actually being received. Services may include those funded by Medi-Cal, Regional Centers, California Children’s Services, Independent Living Centers, In-Home Supportive Services, Department of Rehabilitation, Department of Mental Health, Private Insurance, and/or school-based services.Examples include: Adult Day Health Care, Pediatric Day Health Care, Medical Therapy Program, Housing Referrals, Social Service Referrals, and Vocational Rehabilitation.

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