Input info: Assigned Caregiver: Voucher hours remaining: 15.0 Used 4-7 hrs Used 8-11 hrs (11 Courtesy Hours Remaining Phone Call) Used 12-15 hrs Voucher hours used: 0.0 30 days: 60 days: Care Manager: Care Receiver: Condition: Medicare mbr Originally referred 7.9, but case closed by OA after 4 attempts to reach. Spouse reached out to CM as he wasn't able to get ahold of anyone to begin services. Hospitalized 7.4 - 7.7, new dx of early onset Alzheimer's. HH has just concluded work with member. Medication Adherence Assessment Special needs: Bathing, grooming, and light housekeeping 1st Visit: Mondays are not available (late morning or afternoons) Care schedule: 3 hour minimum Care Plan being used? Yes Assistive Devices: Pets: Dog (friendly pitbulls) CG pref: Female Address Verified: Yes Input info: N/A
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