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NEW YORK STATE DEPARTMENT OF HEALTH Office of Long Term Care AT HOME CASE MANAGEMENT AGENCY REQUEST Care at Home I Care at Home II NOTE: This form must be submitted along with the application to the

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What is care at home?

Care at home is a service that provides assistance and support for individuals who require care and wish to receive it in the comfort of their own homes.

Who is required to file care at home?

The individuals or their representatives who require care at home are required to file for it.

How to fill out care at home?

To fill out care at home, individuals or their representatives need to complete the necessary application forms and provide relevant information about the individual's care needs.

What is the purpose of care at home?

The purpose of care at home is to enable individuals to receive the care and support they need while remaining in their own homes, promoting their independence and quality of life.

What information must be reported on care at home?

The information that must be reported on care at home includes the individual's personal details, medical history, care requirements, and any specific preferences or instructions.

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