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Get the free State of Oregon: APD-AFH - Overview of Adult Foster Home Program

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Form 2327 September 2017EIndividual/Member and Provider Agreement Individual/Member Asocial Security No. Provider NamePeriod Covered:Medicaid No. Address FromToAdult Foster Care (AFC) is a community
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Individuals who require long-term care services in a residential setting in the state of Oregon.
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Families or caregivers responsible for someone who needs long-term care services and are seeking financial assistance or support.
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The state of Oregon APD-AFH stands for Assisted Living/Residential Care Facility Application for Provider Number.
Providers of Assisted Living/Residential Care facilities in Oregon are required to file the APD-AFH.
The APD-AFH form can be filled out online through the Oregon Department of Human Services website or submitted by mail.
The purpose of the APD-AFH form is to apply for a provider number for Assisted Living/Residential Care facilities in Oregon.
The APD-AFH form requires information about the facility, services provided, ownership, staff qualifications, and more.
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