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New York State Department of Health Division of Long Term Caretaker FORM HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Nursing Home Transition (NTD) Nursing Home Diversion (NTD) Traumatic Brain

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What is intake form home and?

The intake form home and is a document used to collect information about individuals who are seeking assistance or services related to their home.

Who is required to file intake form home and?

Anyone who is seeking assistance or services related to their home is required to file the intake form home and.

How to fill out intake form home and?

The intake form home and can be filled out by providing accurate and complete information about the individual's situation and needs.

What is the purpose of intake form home and?

The purpose of the intake form home and is to gather information that helps determine the appropriate services or assistance needed for the individual.

What information must be reported on intake form home and?

The intake form home and may require information such as contact details, household size, income, housing needs, and any special circumstances.

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