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FOR BHF USELL1
2020STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2020)I.DPH License ID Number:
Facility
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What is medi home hfslong term?
Medi home hfslong term is a program that provides long-term care services to individuals who are eligible for Medicaid.
Who is required to file medi home hfslong term?
Individuals who are in need of long-term care services and are eligible for Medicaid are required to file for medi home hfslong term.
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To fill out medi home hfslong term, individuals must provide information about their medical history, income, assets, and need for long-term care services.
What is the purpose of medi home hfslong term?
The purpose of medi home hfslong term is to ensure that individuals who are in need of long-term care services receive the support they require through the Medicaid program.
What information must be reported on medi home hfslong term?
Information such as medical history, income, assets, and need for long-term care services must be reported on medi home hfslong term.
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