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OR CareOregon Health-Related Services: Flex Form 2023 free printable template

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HealthRelated Services:Flexible Services Funding Request Formulas refer to HSF Flex Services Funding Request Instructions for instructions on how to fill out this form. Request Type Date (mm/dd/YYY):
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How to fill out OR CareOregon Health-Related Services Flex Form

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How to fill out flexible services funding request

01
Gather all necessary information and documentation for the funding request.
02
Fill out the funding request form completely and accurately.
03
Be sure to provide detailed information about the services being requested and why they are needed.
04
Double check the form for any errors or missing information before submitting.
05
Submit the funding request to the appropriate department or organization for review and approval.

Who needs flexible services funding request?

01
Nonprofit organizations providing flexible services to their clients.
02
Individuals or families in need of assistance for services such as transportation, healthcare, or housing.
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People Also Ask about

Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP).
Do you have questions about the Oregon Health Plan (OHP)? If you have questions about your OHP benefits, welcome packet or ID cards, please contact the Client Services Unit at 1-800-273-0557. If you have questions about eligibility, applications or related issues, please contact OHP Customer Service at 1-800-699-9075.
Flexible services are cost-effective items and/or services delivered to an individual OHP member to supplement covered benefits and improve their health and well-being. Flexible services are intended to meet immediate social needs, stabilize crisis situations and support a sustainable plan for ongoing needs.
How is OHP funded? OHP is supported by both federal and state funding. CMS oversees and funds state administration of Medicaid, The Children's Health Insurance Program (CHIP), and Medicare. The Oregon Health Authority (OHA) coordinates the biennial budget development process that funds OHP operations.
What flexible services covers. These funds can be used for items or services that aren't covered under Oregon's Medicaid plan but will improve a person's health. Flexible services funds cover services like: Housing support: Furniture, application fees for housing or a state-issued ID, moving costs, etc.
Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP).
For more than 25 years, CareOregon has served Oregonians who qualify for Medicaid by providing health insurance and much more. We believe that by making individuals and families healthier, we make entire communities healthier too.
The Oregon Health Plan (OHP) is Oregon's Medicaid program. There are several health care programs available for low-income Oregonians through OHP.
Call 800-699-9075 or TTY 711. We accept relay calls.

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Flexible services funding request is a funding request for services that can be adjusted or modified based on the needs of the recipient.
Organizations or individuals providing flexible services are required to file flexible services funding request.
To fill out flexible services funding request, one must provide information about the services being offered, the expected outcomes, budget requirements, and any other relevant details.
The purpose of flexible services funding request is to secure funding for services that can be tailored to meet the needs of the recipient.
Information that must be reported on flexible services funding request includes details about the services being provided, expected outcomes, budget requirements, and any other relevant information.
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