
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
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Read the instructions provided with the State of Oregon APD-AFH form.
02
Collect all the required information and documents such as personal details, medical history, and financial information.
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Carefully fill out each section of the APD-AFH form following the instructions.
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Who needs state of oregon apd-afh?
01
Individuals who require long-term care services in a residential setting in the state of Oregon.
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People who have a qualifying medical condition or disability and are in need of support or assistance with daily activities.
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Those who meet the eligibility criteria set by the state of Oregon for the APD-AFH program.
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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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What is state of oregon apd-afh?
The state of Oregon APD-AFH stands for Assisted Living/Residential Care Facility Application for Provider Number.
Who is required to file state of oregon apd-afh?
Providers of Assisted Living/Residential Care facilities in Oregon are required to file the APD-AFH.
How to fill out state of oregon apd-afh?
The APD-AFH form can be filled out online through the Oregon Department of Human Services website or submitted by mail.
What is the purpose of state of oregon apd-afh?
The purpose of the APD-AFH form is to apply for a provider number for Assisted Living/Residential Care facilities in Oregon.
What information must be reported on state of oregon apd-afh?
The APD-AFH form requires information about the facility, services provided, ownership, staff qualifications, and more.
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