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Provider Name: ___ Provider Medicaid ID: ___ Facility Address: ___ County: ___ Presumptively Institutional Setting Criteria Describe why setting meetspresumptively institutional setting criteria.
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How to fill out and community- based services

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To fill out a community-based services form, follow these steps:
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Obtain the community-based services form from the relevant organization or agency.
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Who needs and community- based services?

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Community-based services are beneficial for various individuals and groups, including:
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- People with disabilities or special needs who require assistance with daily living activities, therapy, or support services.
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What is and Community- Based Services Settings RuleMACPAC Form?

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and Community- Based Services Settings RuleMACPAC template instructions

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Community-based services are programs and supports that are provided to individuals in their own communities, rather than in institutional settings. These services are designed to help individuals with disabilities or other needs live independently and participate fully in community life.
Providers of community-based services, such as agencies or organizations that offer these programs, are required to file reports on the services they provide.
Providers can fill out reports on community-based services by documenting the types of services offered, the number of individuals served, outcomes achieved, and any other relevant information requested.
The purpose of community-based services is to promote independence, inclusion, and well-being for individuals who may need additional support to live and participate in their communities.
Providers must report on the types of services offered, number of individuals served, outcomes achieved, any challenges faced, and any other relevant data requested by the reporting requirements.
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