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Medicaid & Long-Term Care Use Only Division of Medicaid and Long-Term Care Medicaid ID # Service Provider Agreement N-Focus ID # Connect ID # READ INSTRUCTIONS BEFORE COMPLETING SIGNATURE * SIGNATURE
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Assistive technology is any device, software, or equipment that helps people with disabilities to perform tasks that they would otherwise be unable to do.
Individuals or organizations who provide assistive technology to individuals with disabilities may be required to file.
The process for filling out assistive technology forms may vary depending on the specific requirements of the governing body. It typically involves providing detailed information about the assistive technology being provided and the individual receiving it.
The purpose of assistive technology is to increase the independence and quality of life for individuals with disabilities by providing them with tools and resources to help them perform daily tasks.
Information that may need to be reported on assistive technology includes the type of technology being provided, the recipient of the technology, and any relevant personal information.
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