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Community First Choice Implementation Council Meeting May 23, 2012 1 Person-Flow Participant is entering Community First Choice Roles: Develop Plan to receive services 1. Participant and representative
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To fill out DHMH Community First Choice, follow these steps:

01
Begin by gathering all necessary information and documents, such as personal identification, medical history, and financial information.
02
Access the DHMH Community First Choice application form online or request a physical copy from the relevant department.
03
Carefully read through the instructions provided with the application form to ensure a complete understanding of the requirements and procedures.
04
Provide accurate and detailed information in each section of the application form. This may include personal details, contact information, and medical diagnoses.
05
Fill out the financial section of the application, which will require disclosing income, assets, and expenses. Be sure to include any relevant supporting documents, such as bank statements or tax returns.
06
Attach any necessary supporting documents, such as medical reports or referral letters, to further substantiate the application.
07
Review the completed application form for any errors or missing information. It is crucial to ensure that all sections are filled out accurately and comprehensively.
08
Submit the application form and any accompanying documents either online, by mail, or in person as directed by the DHMH Community First Choice program.
09
Monitor the status of the application by regularly contacting the DHMH Community First Choice program or the relevant department for any updates or additional requirements.

Who needs DHMH Community First Choice?

01
Individuals who require long-term care services and supports, including those with physical disabilities, intellectual and developmental disabilities, or mental health conditions.
02
Individuals who need assistance with activities of daily living, such as bathing, dressing, meal preparation, and medication management.
03
Individuals who meet the eligibility criteria and have a desire to receive long-term care services in a community-based setting rather than residing in an institutional facility.
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DHMH Community First Choice is a Maryland Medicaid program that provides home and community-based services to eligible individuals with long-term care needs.
Individuals who meet the eligibility criteria for DHMH Community First Choice and require long-term care services are required to file.
To fill out DHMH Community First Choice, individuals need to complete the application form provided by the Maryland Department of Health and Mental Hygiene (DHMH), provide accurate information about their long-term care needs, and submit any required supporting documentation.
The purpose of DHMH Community First Choice is to enable eligible individuals to receive necessary long-term care services in their homes or communities, promoting independence and enhancing quality of life.
DHMH Community First Choice requires individuals to report information such as their medical history, current health conditions, functional limitations, and income information.
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