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Get the free Home and Community-Based Services (HCBS) Compliance Review Request, F-02138. 1100

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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance F02138 (07/2017) STATE OF WISCONSIN Page 1 of 3 HOME AND COMMUNITYBASED SERVICES (HUBS) COMPLIANCE REVIEW REQUEST For Licensed Adult Family
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How to fill out home and community-based services

01
Gather all necessary documents and information regarding your needs and eligibility for home and community-based services.
02
Contact your local Department of Social Services or Aging and Disability Resource Center to initiate the application process.
03
Schedule an assessment with a care coordinator to determine your specific needs and develop a care plan.
04
Complete the required application forms and provide any additional documentation requested.
05
Attend any necessary interviews or meetings with the care coordinator.
06
Review and sign any agreements or contracts related to the services being provided.
07
Ensure that all necessary paperwork is submitted and processed according to the guidelines provided.
08
Communicate and collaborate with your care coordinator throughout the process to address any questions or concerns.
09
Begin receiving the home and community-based services based on the approved care plan.
10
Regularly evaluate and update the care plan as needed to ensure it meets your evolving needs.

Who needs home and community-based services?

01
Individuals with physical disabilities who require assistance with daily living activities.
02
Elderly individuals who need support to age in place and maintain their independence.
03
Individuals with developmental disabilities who benefit from community integration and support.
04
People with chronic health conditions who require ongoing care and monitoring.
05
Individuals with mental health conditions who may need assistance with daily tasks and community integration.
06
Children or adults with intellectual or cognitive disabilities who require additional support and services.
07
Caregivers who need respite services to prevent burnout and maintain their own well-being.
08
Family members or friends of individuals with disabilities who require guidance and resources to provide adequate care.
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Home and community-based services are a range of services provided to individuals with disabilities or older adults in their homes or communities to help them live independently.
Individuals or organizations that provide home and community-based services are required to file.
Home and community-based services can be filled out by completing the necessary forms provided by the relevant agency or organization.
The purpose of home and community-based services is to support individuals with disabilities or older adults in living independently and participating fully in their communities.
Information such as the type of services provided, number of hours of service, and outcomes achieved must be reported on home and community-based services.
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