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Home and Community Based Characteristics Review Tool: Residential SettingEffective June 2014Date Reviewer Name Enrolled ID (if interview conducted) Facility Name AddressFacility Type1. SETTING StandardCommentsStandard Met Y/N/Example
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How to fill out home and community based?

01
Gather all necessary documents and information. This may include personal identification, proof of residency, income verification, and medical records.
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Research and select the appropriate home and community-based service program or agency that best suits your needs and eligibility requirements.
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Contact the chosen agency or program to initiate the application process. This may involve submitting an application form, either online or in-person, and providing all relevant documents.
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Complete the application thoroughly and accurately. Pay attention to all the required fields and provide detailed information about your needs, preferences, and any relevant medical conditions.
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If needed, seek assistance from a social worker or case manager who can guide you through the application process and help ensure all necessary information is included.
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Double-check the completed application for any missing or incorrect information before submitting it.
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Submit the application by the designated deadline, either by mail, online submission, or in-person delivery.
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Who needs home and community based?

01
Individuals with disabilities: Home and community-based services are often designed to support individuals with disabilities, providing them with the necessary assistance to live independently and participate in their communities.
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Seniors: Older adults who may require assistance with daily activities, medical care, or companionship can benefit from home and community-based services that allow them to age in place and maintain their autonomy.
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Individuals with chronic illnesses: Those living with chronic illnesses, such as Alzheimer's, Parkinson's, or multiple sclerosis, may require specialized care and support in their homes or communities to manage their condition effectively.
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Caregivers: Home and community-based services can also be beneficial for caregivers who need respite or assistance in caring for their loved ones, allowing them to take breaks and maintain their own well-being.
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Individuals transitioning from institutional settings: Individuals transitioning from hospitals, nursing homes, or other institutional settings may require home and community-based services to support their smooth reintegration into community living.
Remember, eligibility criteria and available services may vary depending on the specific home and community-based program or agency you choose. It is important to research and contact the appropriate resources to determine eligibility and access the services needed.
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Home and community based services refer to a range of person-centered services that help individuals with daily living activities in their own homes or within their communities.
Individuals who are eligible for home and community based services are required to file for them.
To apply for home and community based services, individuals usually need to complete an application form and provide necessary documentation.
The purpose of home and community based services is to support individuals in maintaining their independence and quality of life while living in their own homes or communities.
Information such as the individual's needs, preferences, and required services must be reported on home and community based services.
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