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Maine Department of Health and Human Services Licensing and Certification 11 State House Station 41 Anthony Avenue Augusta, Maine 043330011 Tel.: (207) 2879300; Toll Free: (800) 7914080 TTY: Dial
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To fill out a con nursing home request, follow these steps:
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Obtain the application form for con nursing home request.
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Fill out the personal information section accurately, including your full name, address, contact number, and social security number.
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Provide the necessary medical information such as any existing medical conditions, medications, and allergies.
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Complete the financial information section, including details about your insurance coverage, Medicare, or Medicaid eligibility.
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Attach any supporting documents required, such as medical records or income verification.
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Double-check all the information provided for accuracy and completeness.
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Submit the completed con nursing home request form to the appropriate authority or agency.
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Who needs con nursing home request?

01
Individuals who require long-term care in a nursing home and meet the eligibility criteria may need a con nursing home request.
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These individuals may include elderly individuals with chronic illnesses, individuals with disabilities, or individuals recovering from serious medical procedures or injuries.
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The con nursing home request helps determine the appropriate level of care and facilitates the placement process in a nursing home.
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A Certificate of Need (CON) nursing home request is a formal application submitted to state regulatory agencies to obtain permission to establish or expand nursing home facilities.
Healthcare providers or organizations planning to create, expand, or make significant changes to a nursing home must file a CON nursing home request.
To fill out a CON nursing home request, applicants will need to complete specific application forms provided by the state regulatory agency, provide detailed information about the proposed facility, its services, financial projections, and demonstrate the need for the project.
The purpose of a CON nursing home request is to ensure that the community's healthcare needs are met and to avoid unnecessary duplication of services by regulating the establishment and expansion of healthcare facilities.
Information that must be reported includes the applicant's details, the proposed location, the number of beds, proposed services, financial viability, projected patient demographics, and community needs assessments.
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