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Home and Community Based Services (HUBS) Provider Quality Reassessment 2022Instructions This form is required for organizations enrolled to provide HUBS Waiver or Rehabilitation services in section
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Determine eligibility for home and community based services.
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Who needs home and community based?

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Individuals who require assistance with daily living activities due to age, disability, or medical condition.
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Home and community-based services (HCBS) are designed to help individuals with disabilities or elderly individuals remain in their homes and communities rather than living in institutions.
Individuals or families seeking services for a person with disabilities or elderly individual may be required to file for home and community-based services.
To fill out home and community-based services, individuals can contact their local health department or social services agency for assistance.
The purpose of home and community-based services is to provide support and assistance to individuals with disabilities or elderly individuals to live independently in their homes and communities.
Information such as the individual's medical history, needs, and preferences must be reported when applying for home and community-based services.
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