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Extended Waiver Eligibility Planning Form Consumer Name: Care Setting Type: AFH/ALF/RCFPrime: InHome NF SPL:Initial Extended Waiver Eligibility Review Date (6 months or sooner): EWE Risk Mitigation
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01
Gather necessary personal information, including full name, address, and contact details.
02
Provide demographic information such as date of birth and gender.
03
Indicate your health insurance details if applicable.
04
Fill out your medical history, including current medications and any chronic conditions.
05
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Who needs oha 8395 client intakeannual?

01
Individuals seeking health services or benefits provided by OHA.
02
Clients who are newly enrolled or renewing their eligibility for services.
03
People requiring assistance in understanding their healthcare options.
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OHA 8395 Client Intake Annual is a form used to gather comprehensive information about clients for health or social services, ensuring that providers can deliver tailored care.
Typically, healthcare providers, social service organizations, and agencies that support clients requiring ongoing services are required to file the OHA 8395 Client Intake Annual.
To fill out OHA 8395 Client Intake Annual, gather the necessary client information and complete all sections of the form meticulously, ensuring accuracy and completeness before submission.
The purpose of OHA 8395 Client Intake Annual is to collect detailed client information that helps service providers assess needs, plan services, and ensure effective client management.
Information required includes client demographics, medical history, service needs, and any other relevant data that helps in service planning.
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afh rcf nf spl mitigation mitigated renewals ineligible eligibility ewe mitigate oar completing waiver alf revised tasks

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