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Maine Shared Community Health Needs AssessmentStatewide Survey 2024The Maine Shared Community Health Needs Assessment is a collaboration between Central Maine Healthcare, MaineGeneral, MaineHealth,
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Obtain the Maine Shared Community Health form from a healthcare provider or online.
02
Fill out personal information such as name, address, date of birth, and contact information.
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Provide information on household members and their relationship to you.
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Include information on income, assets, and any other relevant financial information.
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Submit the completed form to the appropriate healthcare provider or agency.

Who needs maine shared community health?

01
Maine Shared Community Health is needed by individuals and families in Maine who are seeking assistance with healthcare coverage and financial support.
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It is designed for those who do not have access to employer-sponsored health insurance or Medicaid.
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Maine Shared Community Health is a framework designed to improve public health outcomes by facilitating collaboration among various health departments and organizations within the state of Maine to address community health needs.
Entities involved in providing public health data, including health departments, hospitals, and community organizations, are required to file Maine Shared Community Health reports.
To fill out Maine Shared Community Health, organizations must gather the necessary health data, complete the designated forms provided by the state health department, and submit them through the specified online portal or physical submission methods.
The purpose of Maine Shared Community Health is to assess and address the health needs of communities, promote health equity, and enhance collaboration among public and private health stakeholders.
Information to be reported includes community health statistics, demographic data, health service utilization, and specific health issues affecting the community.
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