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STATE OF WISCONSIN Department of Health Services 01/31/2018License and Certification NumbersDIRECTORY OF LICENSED WISCONSIN HOME HEALTH AGENCIES BY COUNTY SERVEDDIVISION OF QUALITY ASSURANCE P.O.

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How to fill out affiliated home health care

01

Gather all necessary personal information of the patient.

02

Contact the affiliated home health care provider to inquire about the required forms.

03

Obtain and complete the affiliated home health care application form.

04

Provide accurate and detailed medical history of the patient.

05

Include any specific needs or conditions that require specialized care.

06

Attach any supporting documents or medical reports as required.

07

Submit the completed application along with all relevant documents to the affiliated home health care provider.

08

Wait for the provider to review the application and contact you for further information if needed.

09

Once approved, schedule an assessment visit with the provider to evaluate the patient's needs and develop a care plan.

10

Follow the care plan guidelines provided by the affiliated home health care provider.

11

Regularly communicate with the provider and provide updates on the patient's condition.

12

Attend any scheduled meetings or appointments as advised by the provider.

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Keep a record of all communication and documentation related to the affiliated home health care.

Who needs affiliated home health care?

01

Individuals requiring post-surgery or post-hospitalization care.

02

Elderly individuals who need assistance with daily activities and medication management.

03

Patients with chronic illnesses or disabilities requiring ongoing medical support.

04

Individuals with mobility issues or limited ability to leave their homes.

05

Those needing specialized nursing care or therapies at home.

06

Family members or caregivers in need of respite care or support services.

07

Individuals seeking palliative or end-of-life care in a comfortable home environment.

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Individuals who prefer receiving medical care and support at home instead of a hospital or facility.

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What is affiliated home health care?

Affiliated home health care is a type of health care service provided in the patient's home by health care professionals who are associated with a specific healthcare organization.

Who is required to file affiliated home health care?

Health care organizations and providers who offer home health care services are required to file affiliated home health care.

How to fill out affiliated home health care?

Affiliated home health care forms can typically be filled out online or submitted through a specific reporting system provided by the relevant healthcare authority.

What is the purpose of affiliated home health care?

The purpose of affiliated home health care is to ensure that patients receive quality health care services in the comfort of their own homes.

What information must be reported on affiliated home health care?

Information such as patient demographics, care services provided, healthcare providers involved, and billing details must be reported on affiliated home health care

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