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PRINTED: 05/11/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out long-term care
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Gather all necessary information such as personal details, medical history, insurance information, and financial information.
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Who needs long-term care?
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Individuals who are unable to perform activities of daily living due to physical or cognitive impairments.
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Older adults who need assistance with tasks such as bathing, dressing, eating, and medication management.
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People with disabilities who require support with daily living activities.
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What is long-term care?
Long-term care refers to a variety of services that help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods.
Who is required to file long-term care?
Individuals who are in need of long-term care services or those responsible for the care of someone in need of long-term care services may be required to file for long-term care coverage.
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To fill out long-term care, individuals need to provide personal and medical information about the individual in need of care, the type of care required, and any eligible coverage options.
What is the purpose of long-term care?
The purpose of long-term care is to provide necessary services and support to individuals who are unable to care for themselves due to a chronic illness or disability.
What information must be reported on long-term care?
Information such as the individual's medical history, current health status, care needs, and coverage options must be reported on long-term care.
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