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Wisconsin Long Term Care Functional Screen Instructions Department of Health Services Division of Long Term Care October 8, 2013July 9, 2014 Table of Contents Page # Module #1: Overview of the Long
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How to fill out wisconsin long term care

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How to fill out Wisconsin Long Term Care:

01
Gather necessary documents: Before starting the application, make sure you have all the required documentation ready. This may include proof of identity, residency, income, and assets.
02
Access the application form: You can find the Wisconsin Long Term Care application form online on the official website of the Wisconsin Department of Health Services. Alternatively, you can also visit a local Aging and Disability Resource Center to obtain a physical copy of the form.
03
Fill out personal information: Begin by providing your personal details such as your name, address, contact information, date of birth, and social security number. Be accurate and double-check the information to ensure it is correct.
04
Answer eligibility questions: The application will include a series of questions to determine if you meet the eligibility criteria for Wisconsin Long Term Care. These questions typically assess your age, disability status, income, and level of need for long term care services.
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Provide financial information: Wisconsin Long Term Care programs often have income and asset limits. You will need to disclose your financial information, including sources of income, bank accounts, investments, and any real estate you own. Make sure to provide accurate and up-to-date information.
06
Describe long term care needs: The application will ask for details about your current health condition, disabilities, and the type of long term care services you require. Be thorough and include any relevant medical information or documentation that supports your need for long term care.
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Submit supporting documents: Along with the application form, you may be required to submit additional supporting documents. These may include medical records, proof of income or assets, and any other documents that verify the information provided in the application.

Who needs Wisconsin Long Term Care?

01
Elderly individuals: As people age, there is often an increased likelihood of requiring long term care services. Wisconsin Long Term Care provides support and assistance specifically designed for the elderly population who may have difficulty with activities of daily living or need help with medical conditions.
02
Individuals with disabilities: Wisconsin Long Term Care also caters to individuals with disabilities who may require ongoing assistance with daily tasks, such as bathing, dressing, eating, or managing medications. This program helps ensure they receive the necessary care and support to maintain their quality of life.
03
Those with chronic illnesses or medical conditions: Individuals dealing with chronic illnesses or serious medical conditions can benefit from Wisconsin Long Term Care. The program offers specialized services and resources to manage their health conditions and provide assistance in managing their daily lives.
Remember, it is advisable to consult with an expert or reach out to the Wisconsin Department of Health Services directly for any specific questions or concerns regarding the application process or eligibility criteria for Wisconsin Long Term Care.
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Wisconsin long term care is a program that helps individuals with ongoing personal care needs receive services in their own home or in a facility.
Individuals who are eligible for Wisconsin long term care services are required to file.
You can fill out Wisconsin long term care by contacting the Wisconsin Department of Health Services or through their online portal.
The purpose of Wisconsin long term care is to provide support and services to individuals who need assistance with daily activities due to a disability, chronic illness, or aging.
Information such as personal details, medical history, and care needs must be reported on Wisconsin long term care.
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