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FOR OF USELL1
2005
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2005)I.DPH Facility ID Number:
Facility Name:0046276II.IMPORTANT
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What is long term care?
Long term care refers to a variety of services that help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for an extended period of time.
Who is required to file long term care?
Individuals who are in need of long term care services and their caregivers are required to file for long term care.
How to fill out long term care?
Long term care can be filled out by providing detailed information about the individual in need of care, their medical history, their current living situation, and their eligibility for financial assistance.
What is the purpose of long term care?
The purpose of long term care is to ensure that individuals who are unable to care for themselves receive the necessary support and services to improve their quality of life.
What information must be reported on long term care?
Information such as the individual's medical condition, prescribed medications, daily living needs, and financial situation must be reported on long term care.
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