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Protecting, Maintaining and Improving the Health of All MinnesotansElectronically Delivered August 19, 2024 Licensee Vikings Home Health Care LLC 11551 Georgia Avenue North Champlin, MN 55316 RE:
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How to fill out home- and community-based services

01
Gather required documents, including identification and financial information.
02
Visit the appropriate local agency or organization that provides home- and community-based services.
03
Complete the application form, ensuring all questions are answered accurately and thoroughly.
04
Provide additional information as requested, such as medical assessments or proof of eligibility.
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Submit the application and wait for confirmation of receipt.
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Follow up with the agency to check the status of your application and provide any further documentation if needed.
07
Attend any necessary interviews or assessments scheduled by the agency.

Who needs home- and community-based services?

01
Individuals with disabilities needing support for daily activities.
02
Elderly adults requiring assistance to live independently.
03
People recovering from illnesses or surgeries that limit their mobility.
04
Families seeking respite care for their loved ones.
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Individuals facing mental health challenges that require community support.
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Home- and community-based services (HCBS) are a range of support services and programs designed to assist individuals with disabilities or seniors in their own homes or community settings, rather than in institutional care.
Individuals or service providers who receive funding or are seeking reimbursement for HCBS from government programs or state agencies are typically required to file for these services.
To fill out home- and community-based services applications, individuals or providers should gather necessary documentation, follow specific forms provided by the governing agency, and ensure all required information is accurately completed and submitted.
The purpose of home- and community-based services is to provide support that enables individuals to live independently and participate fully in their communities while receiving the care they need.
Information that must be reported includes the individual's personal details, services being requested, funding sources, eligibility criteria, and any relevant health or support needs.
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