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Medicaid Waiver Application

These are the forms that you will need in order to submit a complete Medicaid Waiver application based upon the most recent update (2018). Follow the steps on the checklist and make sure you contact us if you need any help or have questions about the process. Note that PEAK does not accept Medicaid Waivers, however the funds can be used to self-direct services for individuals wanting to attend PEAK with their staffmembers.

Application (pdf)Download
Privacy policy (pdf)Download
Release of Information (pdf)Download

Online Waiver Application

You can now submit the application and check status online!
IDD Waiver Application

Other Resources

Petition for Appointment of a Guardian and/or Conservator (pdf)Download

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Help us finish the year STRONG!

Continuing to have a place for our friends to learn, socialize, and thrive in ‘25 is only possible with your help. Please consider donating to PEAK, Inc for your year-end giving contributions.

How can I help?