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DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Medicaid Services DHS 105.02(1), Wis. Admin. Code F01182 (07/2012)WISCONSIN MEDICAID DECLARATION OF SUPERVISION FOR NONBINDING PROVIDERS
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A personal care home health provider is an organization or individual that offers supportive care services in a residential setting, assisting individuals with daily activities, medical needs, and ensuring a safe living environment.
Personal care home health providers, which include facilities and individuals offering these services, are required to file necessary documentation with regulatory bodies in order to comply with health and safety standards.
Filling out the personal care home health provider form typically involves providing details about the services offered, facility information, staff qualifications, and compliance with health regulations. It may vary by jurisdiction, so it is important to follow specific guidelines.
The purpose of a personal care home health provider is to deliver essential personal care and health services to individuals who require assistance with daily living activities, ensuring their well-being and quality of life.
Information that must be reported generally includes the type of services provided, the qualifications of staff, safety protocols, the number of residents, and compliance with local and state health regulations.
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