Inquiry

Interested in living at a Maverick Living home? Please fill out the form below. This helps us determine basic eligibility before moving forward.

Basic Requirements

Full name

Email address

Phone number

Date of birth

County of residence

Are you currently enrolled in Medicaid?

Do you have a Medicaid Home and Community-Based Services (HCBS) waiver?

If yes, which waiver type?

Describe your current living situation

Anything else we should know?