Form ODM10173 Home and Community-Based Services (Hcbs) Settings Verification Checklist - Ohio

Form ODM10173 Home and Community-Based Services (Hcbs) Settings Verification Checklist - Ohio

What Is Form ODM10173?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ODM10173?
A: Form ODM10173 is the Home and Community-Based Services (HCBS) Settings Verification Checklist specifically for Ohio.

Q: What is HCBS?
A: HCBS stands for Home and Community-Based Services, which are programs that provide assistance and support to individuals who want to receive care in their own homes or community settings instead of institutional settings like nursing homes or hospitals.

Q: What is the purpose of Form ODM10173?
A: The purpose of Form ODM10173 is to verify that the settings where HCBS are provided in Ohio meet certain federal requirements.

Q: Who needs to complete Form ODM10173?
A: Form ODM10173 needs to be completed by the organization or agency that provides HCBS in Ohio.

Q: What does the checklist cover?
A: The checklist covers various aspects of the HCBS settings, such as privacy, independence, community integration, and participant rights.

Q: Is Form ODM10173 mandatory?
A: Yes, completion of Form ODM10173 is mandatory for organizations or agencies that provide HCBS in Ohio.

Q: Are there any instructions for completing Form ODM10173?
A: Yes, the form includes instructions on how to complete each section of the checklist.

Q: Who should I contact if I have questions about Form ODM10173?
A: If you have questions about Form ODM10173, you should contact the Ohio Department of Medicaid (ODM) for assistance.

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Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form ODM10173 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM10173 Home and Community-Based Services (Hcbs) Settings Verification Checklist - Ohio

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