Medicaid Provider Training

Upcoming Webinars 9-2025
Medicaid Training for Providers
DDS_Medicaid_Waiver_Asset_&_Income Overview

Documents Referenced in Training

  1. W-1E application (Spanish) (Application for Benefits)
  2. W-1LTSS application (Spanish) (Long-term Care/Waiver Application)
  3. W-1ER application (Eligibility Re-determination)
  4. W-265 (Report of Admission or Discharge Rated Housing Facility/Residential Care Home)
  5. W-298 (Spanish)  (Authorization for Disclosure of Information)
  6. W-1685 (Medical Insurance Information)
  7. W-849 (LLR form)
  8. W-300T19 (Title XIX Disability Determination - Medical Report)
  9. W-300MED (Medicaid for the Employed Disabled - Medical Report)
  10. W-303 (Client Supplement for Medical Information)
  11. W-303a (Permission to Share Medical Information)
  12. Medicaid Coverage Groups and Actions
  13. Fact Sheet - DDS Maintaining Medicaid Eligibility equals Waiver Eligibility
  14. Creating a MyAccount
  15. MyAccount Renewal
  16. Instructions to Access and Print a DSS Coversheet
  17. MyAccount Report a Change

Webinar Archive: Information & Resources

  1. DDS Funeral Funds for DDS Individuals
  2. W-1J (page 13 of the W-1LTSS App, Long-term Care/Waiver Application)
  3. W-1LTSS Section N (pages 11 and 12 of the W-1LTSS App)
  4. W-35 (for employers) Certificate for Disclosure of Gross Wages, Salary or Commission Paid
  5. COLA 2025 Rated Housing Letter
  6. Rent subsidy and DSS 2018 (currently still in effect)
  7. Spend Down Process
  8. Spend Down Approved Items
  9. Personal Needs Allowance and Disregard Breakdown
  10. ABLE_Accounts_Updated_5-15-25
  11. PLAN of CT - Special Needs Trusts
  12. MyAccount Periodic Review Form (PRF)
  13. Irrevocable Funeral Service Contract
  14. Addendum to Irrevocable Funeral Service Contact EXAMPLE
  15. Preparing a Pre-Need Funeral Service Contract Instructions
  16. Revocable Funeral Service Contract for BURIAL SPACE ITEMS
  17. State of CT - Cremation Permit Part 4- Self Authorization and Appointing Custodian of Remains
  18. Statement of Goods and Services EXAMPLE
  19. Summary of Some CT Statutes Concerning Funeral Service Contracts and State Burial Allowance for Persons of Lesser Incomes
  20. Vital Statistics Worksheet for Preplanning(fillable)
  21. Assigning a Personal Life Ins. Policy by Beneficiary Change to FH - Supplement
  22. Beneficiary Change Instructions BOOKLET for Family - fillable
  23. GPL March 2025 Long BOTH LOGO
  24. ABLE Now Presentation Meeting Recording September 2025

Medicare

  1. W1-QMB Application (Spanish) (Application for Medicare Savings Programs (QMB, SLMB, ALMB))
  2. QMBR Application (Spanish) (Medicare Savings Programs Re-determination)