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UAI / PLAN OF CARE Customer Name: Medicaid #: Provider Name: Provider ID #: Case Management Initiated : Medicaid Eligibility Approved: (Date if after date initiated) (Date) MEDICAID CLIENTS ONLY:
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It is a document used to detail an individual's plan of care for Virginia's Department for Aging.
Care providers and guardians of individuals receiving aging services in Virginia are required to file this document.
The document should be filled out with detailed information about the individual's medical history, care needs, and support services.
The purpose is to ensure that individuals receiving aging services in Virginia have a comprehensive and effective plan of care in place.
Information such as medical history, current medications, care needs, support services, and emergency contacts must be reported.
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