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Table of ContentsSection I Presumptively Institutionalization II HUBS Characteristics1. Community Integration2. Respect, Rights, and Choice3. Employment Section III SignaturesREVIEWER: Reviewer Name:Reviewer
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How to fill out home and community-based assessment

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How to fill out home and community-based assessment

01
To fill out a home and community-based assessment, follow these steps:
02
Gather all necessary information about the individual and their living situation.
03
Begin by assessing the individual's functional abilities and limitations.
04
Evaluate their safety and support needs, including any medical or personal care requirements.
05
Consider their current living environment and whether it meets their needs.
06
Assess their social, emotional, and psychological well-being.
07
Identify any potential risks or challenges they may face in their community.
08
Determine their goals and aspirations for independent living.
09
Create a comprehensive plan that outlines the services and supports needed to meet the individual's needs and goals.
10
Review the assessment with the individual and their family or support network to ensure accuracy and thoroughness.
11
Submit the completed assessment to the appropriate agency or organization for review and approval.

Who needs home and community-based assessment?

01
Home and community-based assessment is needed by individuals who require assistance or support to live independently in their homes or communities.
02
This assessment is typically conducted for individuals who have physical, cognitive, or developmental disabilities, chronic illnesses, or aging-related issues.
03
It helps determine the level of care and services needed to ensure their safety, well-being, and quality of life.
04
The assessment is also useful for individuals transitioning from institutional settings, such as hospitals or rehabilitation centers, back to their homes or communities.

What is Home and Community-Based Assessment Tool. Non-Residential Settings Form?

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Home and community-based assessment is a process used to evaluate an individual's eligibility for services and supports that allow them to remain in their home and community rather than in an institution.
Individuals who are seeking services and supports to help them remain in their home and community are required to file a home and community-based assessment.
Home and community-based assessments can typically be completed online, over the phone, or in person with a case manager or social worker.
The purpose of home and community-based assessment is to determine an individual's needs and eligibility for services that will help them maintain their independence and quality of life in their own home and community.
Information that must be reported on a home and community-based assessment includes the individual's medical history, living situation, support needs, and goals for remaining in their home and community.
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