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Attachment C Home and CommunityBased Services (HUBS) Rules CONCEPT Format(s) of Evaluation: November 14, 2019, Completed by: Keri Castaneda, Chief Program Officer Vendor Name, Address, Contact: AbilityFirst,
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How to fill out home and community-based services

How to fill out home and community-based services
01
Gather all necessary documents and information before starting the process.
02
Contact the appropriate agency or organization that provides home and community-based services.
03
Fill out the application form with accurate and complete information.
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Submit the application along with any supporting documents required.
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Wait for a response from the agency or organization regarding the status of the application.
06
Follow up with the agency or organization if there are any delays or issues with the application.
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If approved, work with the agency or organization to develop a care plan and coordinate services.
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Continuously review and update the care plan as necessary.
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Provide feedback and communicate any changes in needs or preferences to the agency or organization.
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Advocate for yourself or your loved one to ensure that the home and community-based services received are appropriate and effective.
Who needs home and community-based services?
01
Older adults who require assistance with daily activities due to physical limitations or cognitive impairments.
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Individuals with disabilities who need support to live independently in the community.
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Individuals with chronic illnesses or conditions who need specialized care and assistance.
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Family members or caregivers of individuals who need respite or assistance in providing care.
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Individuals transitioning from hospital or rehabilitation settings to home or community-based care.
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Individuals at risk of institutionalization who can benefit from home and community-based services.
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Individuals who prefer to receive care and support in their own homes and communities rather than in institutional settings.
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What is home and community-based services?
Home and community-based services are a range of supports that help individuals with disabilities or chronic illnesses stay in their homes and communities instead of living in institutions.
Who is required to file home and community-based services?
Providers of home and community-based services are required to file reports on the services they provide.
How to fill out home and community-based services?
Providers can fill out home and community-based services reports online or submit paper forms to the relevant agency.
What is the purpose of home and community-based services?
The purpose of home and community-based services is to provide individuals with the support they need to live independently and participate in their communities.
What information must be reported on home and community-based services?
Providers must report information such as the type of services provided, the number of individuals served, and the outcomes of the services.
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