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April 8, 2011, DAL: HUBS 1102 Subject: Home Care AdmissionsDear Administrator: The purpose of this letter is to advise home care agencies of the actions required when an agency decides to stop accepting
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Start by reviewing the instructions provided with the form to ensure understanding of all required information and any special instructions.
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Individuals who are seeking Home and Community-Based Services (HCBS) may need to fill out the DAL HCBS 11-02 form.
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Individuals who are elderly, have disabilities, or require long-term services and supports may need to complete this form to determine their eligibility and access to HCBS programs.
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DAL HCBS 11-02 is a form used by healthcare providers to report certain data related to Home and Community-Based Services.
Healthcare providers who offer Home and Community-Based Services are required to file DAL HCBS 11-02.
DAL HCBS 11-02 can be filled out electronically or manually, following the instructions provided on the form.
The purpose of DAL HCBS 11-02 is to collect necessary data to ensure compliance with regulations and track the provision of Home and Community-Based Services.
Information related to the provision of Home and Community-Based Services, including types of services provided, number of individuals served, and outcomes achieved, must be reported on DAL HCBS 11-02.
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