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Shape Up Across Oregon Community Program Agency Sign Up Form Name of Organization/Facility: Facility Address: Telephone: Fax: Name of Local Site Coordinator: Contact Information for the Local Site
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How to fill out home- and community-based servicescms

01
To fill out home- and community-based servicescms, follow these steps:
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Gather all necessary documents and information, such as personal identification, medical records, and proof of income.
03
Contact the relevant agency or organization providing the home- and community-based servicescms.
04
Request an application form and ensure you have a clear understanding of the eligibility criteria.
05
Fill out the application form accurately and completely, providing all required information.
06
Attach any supporting documents as requested, ensuring they are legible and up to date.
07
Review the completed application form for any errors or omissions.
08
Submit the application form and supporting documents either online, by mail, or in person, according to the instructions provided.
09
Follow up with the agency or organization to confirm receipt of your application and inquire about the next steps in the process.
10
Cooperate with any additional assessments, interviews, or evaluations as required.
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Wait for a decision on your application and, if approved, work with the agency or organization to develop a plan for accessing home- and community-based services.
12
Keep track of any correspondence, communication, or changes in your situation that may affect your eligibility or services received.
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Regularly review your eligibility and update your information as necessary to ensure continued access to home- and community-based servicescms.

Who needs home- and community-based servicescms?

01
Home- and community-based servicescms are typically needed by individuals who require assistance with daily living activities and support to live independently in their own homes or communities.
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Those who may benefit from these services include:
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- Elderly individuals with physical or cognitive impairments who need help with activities of daily living, such as bathing, dressing, meal preparation, and medication management.
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- Individuals with disabilities who require support to enhance their quality of life and community participation.
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- Individuals recovering from an illness, injury, or surgery who need temporary assistance in their homes.
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- Individuals with chronic illnesses or conditions that make it difficult for them to fully care for themselves.
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- Individuals who face challenges in accessing community resources and social support.
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Ultimately, anyone who can benefit from additional assistance or support to live safely and comfortably in their homes or communities may need home- and community-based servicescms.
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Home- and community-based services CMS refers to programs and services aimed at providing care and support to individuals in their own homes or community settings, rather than institutional care.
States that receive Medicaid funding to provide home- and community-based services are required to file home- and community-based services CMS documentation.
To fill out home- and community-based services CMS, individuals or administrators must provide detailed information about the services offered, the target population, and compliance with federal and state regulations.
The purpose of home- and community-based services CMS is to ensure that individuals receive necessary services in a community setting while maintaining their independence and quality of life.
Information required includes service descriptions, the population served, funding sources, provider qualifications, and compliance with federal guidelines.
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