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Lifespan Long term Chronic Care Caregiver Respite Voucher Program (LCR VP)Eligibility Determination Form Eligibility Criteria (to be completed by the applicant): Caregiver/Applicant, please check
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Consult with a healthcare provider to determine if lifespan long-term chronic care is necessary.
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Who needs lifespan long-term chronic care?

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Individuals who have chronic health conditions that require ongoing medical care and monitoring.
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Individuals who are unable to care for themselves and need assistance with daily activities due to their chronic health condition.
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Lifespan long-term chronic care refers to the ongoing support and medical treatment provided to individuals with chronic health conditions or disabilities.
Individuals who are receiving or providing long-term chronic care are required to file lifespan long-term chronic care.
Lifespan long-term chronic care can be filled out by providing detailed information about the individual's medical history, current health status, and the type of care being received.
The purpose of lifespan long-term chronic care is to ensure that individuals with chronic health conditions receive the necessary support and treatment to maintain their quality of life.
Information such as the individual's medical history, current health status, medication regimen, and any changes in their condition must be reported on lifespan long-term chronic care.
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