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Title of Rule:Revision to the Medical Assistance Act Rule concerning Income Support Services, Section 8.552 Rule Number: MSB 210609A Division / Contact / Phone: Benefits & Services Management / Kristine
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How to fill out 8552 in-home support services

01
Begin by gathering all the necessary information for the form, including personal details of the individual receiving the in-home support services.
02
Fill out the individual's name, address, and contact information in the designated fields.
03
Provide details about the type of support services being received and the reason for needing these services.
04
Fill in any additional information required by the form, such as the start and end dates of the services and any other relevant details.
05
Review the completed form for accuracy and make any necessary corrections or amendments.
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Sign and date the form to certify its truthfulness and accuracy.
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Submit the completed form according to the instructions provided, either by mail or electronically.
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Who needs 8552 in-home support services?

01
The individuals who may need 8552 in-home support services include:
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- Elderly individuals who require assistance with daily living activities, such as bathing, dressing, and meal preparation.
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- People with disabilities or chronic illnesses who need help with mobility, medication management, or other healthcare-related tasks.
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- Individuals recovering from surgery or medical procedures who require temporary in-home support services.
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- Individuals with mental health conditions who need support and assistance in their home environment.
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- Anyone unable to independently perform essential daily living tasks and requires assistance to maintain a safe and comfortable living environment.
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8552 in-home support services is a form used to report information about in-home support services provided to individuals with disabilities or elderly individuals.
Providers of in-home support services are required to file form 8552.
Form 8552 must be completed with accurate information about the services provided, including dates, hours, and types of services.
The purpose of form 8552 is to document and report in-home support services provided to individuals with disabilities or elderly individuals for reimbursement purposes.
Information such as the dates of service, hours worked, types of services provided, and client information must be reported on form 8552.
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