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INSTRUCTIONS FOR COMPLETION OF PENNSYLVANIA Promise PROVIDER ENROLLMENT BASE APPLICATION EXTENDED CARE NURSING FACILITY OR INTERMEDIATE CARE FACILITY/INTELLECTUAL DISABILITIES Applications must be
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How to fill out extended care nursing facility
How to fill out extended care nursing facility:
01
Gather all necessary personal information such as name, date of birth, and contact details.
02
Provide medical history and any relevant documentation or reports from healthcare professionals.
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Include information about any specific medical conditions or disabilities that require specialized care.
04
Specify the reason for needing extended care, whether it's for recovery from surgery, chronic illness management, or long-term care.
05
Provide information about current medications and any allergies or sensitivities.
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Include details about insurance coverage and payment options.
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Fill out any required forms or applications provided by the nursing facility.
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Make sure to review and sign all necessary consent forms and agreements.
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Double-check all information for accuracy and completeness before submitting the application.
Who needs extended care nursing facility:
01
Individuals who have complex medical needs that cannot be adequately addressed at home or in a less intensive care setting.
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People who require 24-hour nursing care and assistance with activities of daily living, such as bathing, dressing, and medication management.
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Those who are recovering from surgery, illness, or injury and need a structured environment for rehabilitation and therapy.
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Seniors who may be experiencing age-related conditions, such as dementia or mobility issues, that require specialized care and supervision.
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Family members who are unable to provide the necessary level of care at home due to work or other personal commitments.
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What is extended care nursing facility?
Extended care nursing facility is a type of healthcare facility that provides long-term care and medical services to individuals who are unable to care for themselves.
Who is required to file extended care nursing facility?
Extended care nursing facilities are required to be filed by the administrators or owners of the facility.
How to fill out extended care nursing facility?
Extended care nursing facility forms can be filled out online or submitted through mail, following the specific instructions provided by the regulatory body.
What is the purpose of extended care nursing facility?
The purpose of extended care nursing facility is to ensure that residents receive the necessary care and support to help improve their quality of life.
What information must be reported on extended care nursing facility?
Information such as resident demographics, medical history, care plans, and staff qualifications must be reported on extended care nursing facility.
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