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Medical Necessity Guidelines: Home and Community Based Services (HITS) Effective: August 1, 2017, Clinical Documentation and Prior Authorization Coverage Guideline, No Prior Required Authorization
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To fill out home and community based, follow these steps:
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Gather all the necessary information and documents such as personal information, medical history, and contact details.
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Contact the appropriate organization or agency that provides home and community-based services.
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Request an application form and carefully fill it out with accurate information.
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Provide any supporting documents or medical records that may be required.
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Double-check the completed form for any errors or missing information.
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Submit the filled-out application form along with all the required documents either in person, by mail, or online, depending on the instructions provided.
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Follow up with the organization or agency to ensure the application is received and being processed.
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Attend any scheduled interviews or assessments as part of the application process, if required.
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Await a decision on the application and be prepared to provide any additional information if requested.
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Once approved, review and understand the terms and conditions of the home and community-based services provided.

Who needs home and community based?

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Home and community-based services are beneficial for individuals who:
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- Require assistance with activities of daily living (ADLs) such as bathing, dressing, or meal preparation.
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- Have specific medical conditions or disabilities that require regular monitoring or support.
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- Prefer to receive care and support in the comfort of their own home or within their community rather than in a nursing home or institutional setting.
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- Need additional help accessing community resources, social activities, or transportation.
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- Seek companionship or emotional support in their daily lives.
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- Have been recommended or referred by healthcare professionals or social service agencies.
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Home and community based refers to services and support provided to individuals in their own homes or communities, rather than in institutions.
Individuals who are eligible for home and community based services are required to file for them.
To fill out home and community based services, individuals need to complete the necessary forms and provide required information about their needs and eligibility.
The purpose of home and community based services is to allow individuals to receive care and support in their own homes and communities, promoting independence and quality of life.
Information such as the individual's needs, eligibility criteria, services provided, and outcomes must be reported on home and community based services.
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