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DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF AGING AND ADULT SERVICES ROY COOPERED H. KINSLEYGOVERNORSECRETARYJOYCE MASSEYSMITH DIRECTORAPPENDIX G: SAID CASE MANAGEMENT MANUALREQUEST FOR ADDITIONAL

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How to fill out special assistance in-home case

01

Determine the eligibility criteria for special assistance in-home case.

02

Collect all necessary documents and information required for the application.

03

Fill out the application form accurately and completely.

04

Submit the application form along with supporting documents to the relevant authority or agency.

05

Await the approval or denial of the application and follow up if necessary.

Who needs special assistance in-home case?

01

Individuals with disabilities who require assistance with daily living activities.

02

Elderly individuals who need help with tasks such as cooking, cleaning, or personal care.

03

Patients recovering from surgery or illness who require temporary in-home assistance.

04

Individuals with chronic illnesses or conditions that limit their ability to care for themselves.

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What is special assistance in-home case?

Special assistance in-home case provides additional support and services for individuals who require assistance to live independently in their own home.

Who is required to file special assistance in-home case?

Individuals who need assistance to live independently in their own home are required to file special assistance in-home case.

How to fill out special assistance in-home case?

Special assistance in-home case can be filled out by providing detailed information about the individual's needs and requirements to live independently.

What is the purpose of special assistance in-home case?

The purpose of special assistance in-home case is to ensure that individuals who need assistance to live independently in their own home receive the necessary support and services.

What information must be reported on special assistance in-home case?

Information such as medical conditions, functional limitations, support needs, and living arrangements must be reported on special assistance in-home case.

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