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TENURE LONG-TERM CARE CHOICES HOME AND COMMUNITY BASED PROVIDER APPLICATION 1. PROVIDER NAME AND ADDRESS: Corporate Name: (as on W9) DBA Name: (if applicable) Check type of Provider (As listed on

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What is choices ltc hcbs application?

The choices ltc hcbs application is a form that individuals can fill out to apply for long-term care services through the Home and Community-Based Services (HCBS) program.

Who is required to file choices ltc hcbs application?

Any individual who is in need of long-term care services and meets the eligibility requirements of the HCBS program is required to file a choices ltc hcbs application.

How to fill out choices ltc hcbs application?

To fill out the choices ltc hcbs application, individuals must provide personal information, medical history, and documentation of their need for long-term care services. The application can be completed online or through a paper form.

What is the purpose of choices ltc hcbs application?

The purpose of the choices ltc hcbs application is to assess an individual's eligibility for receiving long-term care services through the HCBS program and to determine the level of care needed.

What information must be reported on choices ltc hcbs application?

The choices ltc hcbs application requires individuals to report personal information such as name, address, and contact details, as well as medical history, current health conditions, and any caregiving support they may already have.

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