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Hospital/Home bound (HUB)
Program
Procedural Manual
202324Kiandra Thus
HUB District Coordinator Imitable of Contents
Introduction page 3Overview of Hospital/Home bound (HUB) Services (Georgia State
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How to fill out appendix a hospitalhomebound hhb
How to fill out appendix a hospitalhomebound hhb
01
Obtain a copy of the Appendix A Hospital/Homebound (HHB) form.
02
Fill out the patient's name, date of birth, and medical record number at the top of the form.
03
Provide detailed clinical information regarding the patient's medical condition that requires homebound care.
04
Include information about the patient's specific functional limitations and the reasons they cannot leave their home.
05
Have the form signed and dated by a physician to certify the need for hospital/homebound care.
Who needs appendix a hospitalhomebound hhb?
01
Patients who are unable to leave their home due to a medical condition and require homebound care.
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What is appendix a hospitalhomebound hhb?
Appendix A Hospital/Homebound (HHB) is a document used to determine eligibility for Medicaid services for patients who are homebound due to illness or disability.
Who is required to file appendix a hospitalhomebound hhb?
Healthcare providers and institutions that offer services to patients who are homebound and seeking Medicaid reimbursement are required to file Appendix A.
How to fill out appendix a hospitalhomebound hhb?
To fill out Appendix A, providers must provide patient information, documentation of homebound status, and relevant medical history, ensuring all sections are accurately completed and signed.
What is the purpose of appendix a hospitalhomebound hhb?
The purpose of Appendix A is to assess and confirm a patient's homebound status for eligibility for home healthcare services under Medicaid.
What information must be reported on appendix a hospitalhomebound hhb?
Information that must be reported includes patient demographics, diagnosis, functional status, medical history, and evidence of the need for homebound services.
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