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Home and CommunityBased Services (HUBS)/ Longer Services and Supports (LESS)Provider Credentialing/Re credentialing ApplicationEntire application must be completed. If entire application is not completed,
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How to fill out home- and community-based services

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To fill out home- and community-based services, follow these steps:
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- Begin by gathering all necessary documents and information, such as personal identification, medical records, and financial information.
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- Contact the appropriate agency or organization responsible for providing home- and community-based services.
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- Request an application form or access online application if available.
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- Complete the application form accurately and thoroughly, providing all required information.
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- Attach any supporting documents as specified by the application form.
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- Submit the completed application along with the supporting documents to the designated agency or organization.
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- Wait for a response from the agency to know the status of your application.
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- If approved, follow any additional instructions or requirements provided by the agency.
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- If denied, inquire about the reasons for denial and explore any possible appeals or alternatives.
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- Keep copies of all submitted documents and communication with the agency for future reference or follow-up.

Who needs home- and community-based services?

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Home- and community-based services are designed for individuals who may require assistance with daily living activities and prefer to receive care or support in their own homes or within their communities. This may include:
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- Elderly individuals who need help with tasks such as bathing, dressing, medication management, and meal preparation.
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- Individuals with disabilities or chronic health conditions who require assistance with mobility, personal care, or medical monitoring.
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- Individuals recovering from surgery or illness who need temporary assistance with activities of daily living.
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- Individuals with developmental disabilities who benefit from community integration and support services.
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- Caregivers of individuals with significant health needs, providing respite and support services to relieve their caregiving responsibilities.
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- Individuals seeking alternatives to institutional care or nursing homes, preferring to age or receive care in familiar surroundings.
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Home- and community-based services are programs that provide assistance and support to individuals who prefer to receive care in their own homes or communities rather than in institutional settings.
Individuals who are in need of home- and community-based services or their caregivers are typically required to file for these services.
To fill out home- and community-based services, individuals can contact their local health department or social services agency for guidance on the application process.
The purpose of home- and community-based services is to enable individuals to remain in their homes or communities while receiving the necessary care and support they require.
Information that must be reported on home- and community-based services typically includes the individual's medical history, care needs, and any supporting documentation.
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