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Evaluationofthe Healthy Communities Initiative Pilothouse EvaluationGuide Version1:PilotPhaseINTRODUCTION Contents ThepurposeofthisGuideivWhatsinthisGuidevWheretogethelpviHowtousethisEvaluationGuideviiImportantdefinitionsixPARTA:Overview11OverviewoftheevaluationoftheHealthyCommunities
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To fill out PartAOverview, follow these steps:
1. Start by gathering the necessary information such as the individual's personal details, including their name, address, contact information, and Social Security number.
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PartAOverview is needed by individuals who are applying for Medicare Part A coverage, which includes hospital insurance. This form is required to provide essential information about the individual, their insurance coverage, and their healthcare provider. It is necessary for anyone seeking Medicare Part A benefits or making changes to their existing coverage.
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