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Home and CommunityBased Services (HUBS)
2021 Provider Quality Management Reassessment
This form is required for entities enrolled to provide services in Section B under the
following waivers/programs:
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How to fill out home and community-based services
How to fill out home and community-based services
01
Contact your local Area Agency on Aging to determine eligibility for home and community-based services.
02
Gather necessary documentation such as proof of income, disability status, and medical records.
03
Complete the application form provided by the agency, providing all requested information.
04
Attend any required assessments or interviews to determine level of care needed.
05
Wait for approval from the agency and receive a care plan outlining the services you are eligible for.
Who needs home and community-based services?
01
Seniors who require assistance with activities of daily living such as bathing, dressing, and meal preparation.
02
Individuals with disabilities who need help with mobility, transportation, and medication management.
03
Caregivers who are in need of respite services to provide temporary relief from their caregiving duties.
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What is home and community-based services?
Home and community-based services are a range of services provided to individuals in their homes or communities to help them remain independent and function at their highest level.
Who is required to file home and community-based services?
Providers of home and community-based services are required to file reports on the services they provide.
How to fill out home and community-based services?
Providers can fill out home and community-based services reports by documenting the services provided, the individuals served, and any outcomes or improvements observed.
What is the purpose of home and community-based services?
The purpose of home and community-based services is to support individuals in living independently, accessing community resources, and improving their quality of life.
What information must be reported on home and community-based services?
Information such as the types of services provided, the number of individuals served, and any significant improvements or changes must be reported on home and community-based services.
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