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Home and Community Based Waiver Services Provider Enrollment Information Form STEP 1: Choose the Waiver/Program(s) that you are enrolling for. ACT 150Community HealthChoicesOBRASTEP 2: Choose the
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How to fill out wwwdhspagovservicesassistancehome and community-based services

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Step 1: Go to the website www.dhspa.gov/services/assistance/home-community-based-services
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Step 2: Click on the 'Fill Out Application' button.
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Step 3: Provide your personal information such as name, address, and contact details.
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Step 4: Answer all the questions related to your eligibility and need for home and community-based services.
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Step 5: Submit the application by clicking on the 'Submit' button.
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Step 6: Wait for the confirmation message or email regarding the status of your application.
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Step 7: If approved, follow the instructions provided to access the services.

Who needs wwwdhspagovservicesassistancehome and community-based services?

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Individuals who require support and assistance with home-based and community-based services.
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Individuals with disabilities, older adults, and individuals with chronic illnesses who need help with daily activities and maintaining independence.
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Families and caregivers of individuals who require specialized care and support services.
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wwwdhspagovservicesassistancehome and community-based services refer to a program that provides support and assistance to individuals who require help with activities of daily living and wish to remain in their own homes or communities.
Individuals who are eligible for the program and wish to receive home and community-based services are required to file.
To fill out the wwwdhspagovservicesassistancehome and community-based services form, individuals must provide detailed information about their needs, preferences, and any existing support systems.
The purpose of wwwdhspagovservicesassistancehome and community-based services is to help individuals live independently in their homes and communities by providing necessary support and services.
Information such as medical history, cognitive abilities, physical limitations, and preferences for care must be reported on the wwwdhspagovservicesassistancehome and community-based services form.
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