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Form 361 Icf / Iid Level of Care Evaluation for Institutional Care - Alabama
What Is Form 361?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 361 ICF/IID Level of Care Evaluation for Institutional Care?
A: Form 361 is a document used in Alabama to evaluate the level of care needed for individuals who require institutional care in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).
Q: Who is required to complete Form 361?
A: The Form 361 must be completed by a qualified professional, such as a physician or nurse, who has assessed the individual's level of care needs.
Q: What is the purpose of Form 361?
A: The purpose of Form 361 is to determine the level of care needed for an individual with intellectual disabilities who requires institutional care in an ICF/IID.
Q: What information is required on Form 361?
A: Form 361 requires information about the individual's medical condition, functional abilities, support needs, and any other relevant information.
Form Details:
- Released on August 1, 2016;
- The latest edition provided by the Alabama Medicaid Agency;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form 361 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
