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Community Supports: Nursing Facility Transition or Diversion Information and Referral Form This referral form is required for authorization of sevices Community Supports (CS) are services that are
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How to fill out community supports nursing facility

01
Gather necessary documentation such as medical records, insurance information, and identification.
02
Contact the community supports nursing facility to inquire about the application process.
03
Fill out the required forms thoroughly and accurately.
04
Submit the completed forms along with any supporting documents to the facility.
05
Follow up with the facility to ensure all necessary information has been received and processed.

Who needs community supports nursing facility?

01
Individuals who require ongoing medical care and assistance with daily activities.
02
People who may benefit from a structured environment with healthcare professionals available around the clock.
03
Individuals whose caregivers are unable to provide the level of care needed at home.
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Community supports nursing facility is a facility that provides nursing care and support services to individuals in the community setting.
Community supports nursing facility must be filed by the facility administrator or designated staff member.
Community supports nursing facility can be filled out by providing all required information and submitting it to the appropriate governing body.
The purpose of community supports nursing facility is to ensure that individuals receive proper nursing care and support services in the community setting.
Community supports nursing facility must include information on the facility's services, staff qualifications, and resident populations.
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rcfe referrer medi authorization1 sevices respites cin cencalhealth bh csnftdirf resided dob utilization eligibility institutional submitting consenting referral cs gaps arf settings facilitate org accessible reside provider medically delays assisted crit

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