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Get the free 95-LCM-070 Home and Community-Based Services Waiver for Persons with Traumatic Brain...

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±---------------------------------------- LOCAL COMMISSIONERS MEMORANDUM ±---------------------------------------- DSS-4037EL (Rev. 9/89) Transmittal No: Date: 95 LCM-70 July 10, 1995, Division:
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95-lcm-070 home and community-based is a form used to report home and community-based services provided to individuals.
Providers of home and community-based services are required to file 95-lcm-070.
To fill out 95-lcm-070, providers need to report information on the services provided, individuals served, and other related data.
The purpose of 95-lcm-070 is to track and monitor home and community-based services provided to individuals.
Providers must report details on services provided, individuals served, outcomes achieved, and any other relevant information.
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