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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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How to fill out home- and community-based services

01
Contact your local Area Agency on Aging to inquire about available home- and community-based services.
02
Determine your eligibility for the services based on your age, income level, and care needs.
03
Complete any necessary applications and provide required documentation such as proof of income and medical records.
04
Attend any required assessments or interviews to determine the specific services needed.
05
Work with a case manager to develop a care plan outlining the services and support you will receive.
06
Follow the guidelines provided by the home- and community-based services program and communicate any changes in your needs or circumstances.

Who needs home- and community-based services?

01
Individuals who are elderly and require assistance with daily activities such as dressing, bathing, and meal preparation.
02
Individuals with disabilities who need support to live independently in their own homes or communities.
03
Caregivers who are responsible for looking after a family member who needs additional assistance and respite care.
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Home- and community-based services are healthcare and support services provided to individuals in their homes or communities rather than in an institution.
Individuals who are eligible for these services and wish to receive them must file for home- and community-based services.
To fill out home- and community-based services, individuals can contact their healthcare provider or local social services agency for assistance.
The purpose of home- and community-based services is to allow individuals to receive necessary care and support while remaining in their homes and communities.
Information such as the types of services needed, the frequency of services, and the healthcare provider responsible for administering them must be reported on home- and community-based services.
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