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  • Telephone Inquiry Form - Iahhc

Get Telephone Inquiry Form - Iahhc

Telephone Inquiry Form Date Client Information Contact Information ?M ?F Name: Contact: Address: Phone: Relationship: Phone: Other Info: Spouse: Email: SSN: DOB: General Information and Type of Services.

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How to fill out the Telephone Inquiry Form - Iahhc online

Filling out the Telephone Inquiry Form - Iahhc online is a straightforward process designed to streamline your inquiries. This guide will walk you through each section of the form to ensure that you provide the necessary information accurately and efficiently.

Follow the steps to fill out the Telephone Inquiry Form - Iahhc online.

  1. Press the ‘Get Form’ button to access the Telephone Inquiry Form - Iahhc and open it in your preferred editor.
  2. Begin by providing the date at the top of the form. This information is crucial for record-keeping purposes.
  3. Fill out the client information section, including contact details such as name, address, and phone number. Be sure to include the relationship of the caller to the client.
  4. In the contact information section, enter additional phone numbers and email addresses as necessary.
  5. Complete the general information section by specifying the type of services requested. Indicate the days of service and preferred times, along with the requested start date.
  6. Answer the billing questions by indicating if the billing information is the same as previously provided. If different, fill out the alternative billing details.
  7. Select the referral source, marking who or what led you to inquire about services.
  8. For the follow-up section, indicate the preferred level of follow-up needed by checking the appropriate box.
  9. Review all the information for accuracy before saving your changes.
  10. Finally, download, print, or share the form as needed once all fields are completed.

Begin filling out your Telephone Inquiry Form - Iahhc online today to streamline your inquiry process.

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Income & Asset Limits for Eligibility 2024 Indiana Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingle Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,829 / month* $2,000 Medicaid Waivers / Home and Community Based Services $2,829 / month† $2,0001 more row • Mar 7, 2024

Indiana Medicaid's Aged and Disabled Waiver offers a very wide range of support services to help individuals remain living at home, such as home modifications, respite care, meals, medical supplies, attendant care, and non-emergency transportation.

For an individual to receive Medicaid-covered hospice services, a physician must certify in writing that the individual is terminally ill and expected to die within 6 months, if the terminal illness runs its normal course.

Yes, Medicaid can cover the nursing services provided by assisted living communities. The services needed will vary from person to person, but these are often referred to as activities of daily life (ADLs). This can include eating, bathing, dressing, medication, personal grooming and hygiene, and more.

Indiana Medicaid's Aged and Disabled Waiver offers a very wide range of support services to help individuals remain living at home, such as home modifications, respite care, meals, medical supplies, attendant care, and non-emergency transportation.

Hoosier Healthwise Indiana Medicaid plans covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the member's family.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232