Information to apply for additional funding for occupancy costs (occupancy costs are not a covered Medicaid Waiver service) for residential facilities as provided through the Human Care Agreement Process.
If you are a provider or organization applying for additional funding for occupancy costs (occupancy costs are not a covered Medicaid Waiver Service) for residential settings as provided through the Human Care Agreement (HCA), complete form,
DCHCA-6000*.
The following forms must also accompany the HCA application.