Living Arrangement definition

Living Arrangement. ☐ Alone ☐ With mother ☐ With relatives ☐ With partner/significant other ☐ With father ☐ With guardian ☐ With spouse ☐ With sibling(s) ☐ With unrelated person(s) ☐ With children ☐ Xxxxxx parent(s) Family Members in the Home Name(s): DOB or Age (circle) M or F M or F M or F M or F M or F Relationship to client: Emergency Contact: (You must also complete a Release of Information form) Name Relationship Phone: Medical Decision-Making Authority for minors Name Name Relationship Relationship Place of Residence: ☐Independent living (alone or w/ family) ☐ Inpatient ☐ Halfway house ☐ Boarding home (adult) ☐ Xxxxxx home (youth) ☐ Residential facility (MH adult) ☐ Correctional facility ☐ Supported housing ☐ Residential treatment/group ☐ Homeless ☐ Nursing home ☐ Assisted Living ☐ ATU (adults only) ☐ Sober living ☐ Group home (adult) ☐ Other residential facility Current Primary Role ☐ Employed (Full time 35+ hours/week) ☐ Employed (part time ≤ 35 hours/week ☐ Unemployed ☐ Military ☐ Retired ☐ Supported Employment ☐ Student (applies to age 0-18 only) ☐ Volunteer ☐ Homemaker ☐ Disabled ☐ Inmate *Please note that these are state designated categories Disabilities: (choose all that apply) ☐ None ☐ Deaf/severe hearing loss ☐ Blind/severe vision loss ☐ Traumatic Brain Injury ☐ Learning disability ☐ Developmental disability #110 / Demographics Form / Administration Gross annual household income $ Number of individuals supported by income: _ Number of dependent children: Does the client receive SSI? ☐ Yes ☐ No Does the client receive SSDI? ☐ Yes ☐ No Educational Status ☐ Pre-kindergarten ☐ Kindergarten ☐ Grade 1 ☐ Grade 2 ☐ Grade 3 ☐ Grade 4 ☐ Grade 5 ☐ Grade 6 ☐ Grade 7 ☐ Grade 8 ☐ Grade 9 ☐ Grade 10 ☐ Grade 11 ☐ Grade 12 or GED ☐ Some college ☐ College degree ☐ Master’s degree ☐ Doctoral degree School Information (if currently in school) Name of school School Address City State Zip Tobacco Status: ☐ Current smoker/tobacco user—every day ☐ Current smoker/tobacco user—periodically ☐ Smoker/tobacco user—current status unknown ☐ Former smoker/tobacco user ☐ Never a smoker/tobacco user ☐ Unknown if ever smoked/used Presence of mental health problem (select one): ☐ Longer than 1 year ☐ One year or less Previous or Current Services (check all that apply): ☐ Juvenile Justice ☐ Adult Corrections ☐ Developmental Disabilities ☐ Special Education ☐ Child Welfare ☐ Substance Abuse ☐ None History of Mental Health Services (check all that apply): ☐ Inpatient Number of prior psychiatric ho...
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Living Arrangement means a non-institutional environment for a physically disabled adult who lives alone or with family or others.
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Living Arrangement means an arrangement listed under division (D)(1) of section 5119.41 of the Revised Code. "Living arrangement" includes any owner, operator, employee, or volunteer who provides accommodations, supervision, or personal care services in the living arrangement.
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Examples of Living Arrangement in a sentence

  • Availability of Participant Direction by Type of Living Arrangement.

  • For CRA services, rendered in a Community Living Arrangement, the provider agency must have a Community Living Arrangement license for each individual residential site from HFR (State of Georgia Rules and Regulations 290-9-37).

  • State-funded providers who render Respite Services in a Community Living Arrangement meet the physical standards requirements for these homes by maintaining licensure (State of Georgia Rules and Regulations 290-9-37).

  • The provider shall hold the Community Living Arrangement License or Personal Care Home Permit licensed by Healthcare Facility Regulations (HFR) for Community Residential Alternative services for all residential sites housing individuals with Developmental Disabilities.

  • These Daily Rates are statewide for all Habilitation, Individually Designed Living Arrangement services.

  • Drug or alcohol treatment centers (DAA’s) and group living arrangements (GLA’s) which act as authorized representatives for residents of the facilities must use SNAP benefits for food prepared and served to those residents participating in the SNAP except when residents leave the facility in accordance with Section 14.3 Residents of Drug and Alcohol Treatment and RehabilitationPrograms (DAA’s) and Section 14.4 Residents of a Group Living Arrangement (GLA).

  • In order of waiver application eligibility determination date of persons for whom waiver services are necessary to permit discharge from an institution, e.g. persons who reside in ICFs/IID, Nursing Facilities, and Arkansas State Hospital patients; or admission to or residing in a Supported Living Arrangement (group homes and apartments).

  • See 3.2.1.5 Group Living Arrangement for additional information regarding these housing situations.

  • The Daily Rates schedule for Habilitation, Individually Designed Living Arrangement contains 20 tables with Daily Rates, and each table refers to one of 20 ranges.

  • The Qualified Vendor shall invoice for payment for each member the per diem rate on the Daily Rates schedule for Habilitation, Individually Designed Living Arrangement that reflects the number of residents at the site and the range of hours provided in a week that reflect the lesser of 1) the authorized direct service hours, or 2) the actual direct service hours delivered.

Related to Living Arrangement

  • Alternative living arrangement means a structure in which households live in distinct bedrooms, yet share kitchen and plumbing facilities, central heat and common areas. Alternative living arrangements include, but are not limited to: transitional facilities for the homeless; Class A, B, C, D and E boarding homes as regulated by the State of New Jersey Department of Community Affairs; residential health care facilities as regulated by the New Jersey Department of Health; group homes for the developmentally disabled and mentally ill as licensed and/or regulated by the New Jersey Department of Human Services; and congregate living arrangements.

  • Independent living arrangement means placement of (i) a child at least 16 years of age who is in

  • netting arrangement means an arrangement under which a number of claims or obligations can be converted into a single net claim, including close-out netting arrangements under which, on the occurrence of an enforcement event (however or wherever defined) the obligations of the parties are accelerated so as to become immediately due or are terminated, and in either case are converted into or replaced by a single net claim, including ‘close-out netting provisions’ as defined in point (n)(i) of Article 2(1) of Directive 2002/47/EC and ‘netting’ as defined in point (k) of Article 2 of Directive 98/26/EC;

  • Continuing Arrangements means those arrangements set forth on Schedule 1.1(24) and such other commercial arrangements among the Parties that are intended to survive and continue following the Separation Time; provided, however, that for the avoidance of doubt, Continuing Arrangements shall not be Third Party Agreements.

  • Financing Arrangements means the arrangements between the Borrower and the State as per current policy of the Borrower, and acceptable to ADB;

  • Access Arrangement means an arrangement for access to a Covered Pipeline that has been approved by the Relevant Regulator.

  • Arrangement Agreement means the arrangement agreement dated as of April 18, 2019 between the Purchaser and the Company, including the schedules and exhibits thereto, providing for, among other things, the Arrangement, as the same may be amended, supplemented or restated.

  • Medical flexible spending arrangement means a benefit plan

  • Tax Sharing Arrangement means any written or unwritten agreement or arrangement for the allocation or payment of Tax liabilities or payment for Tax benefits with respect to a consolidated, combined or unitary Tax Return which includes the Company.

  • Travel Arrangements means: (a) transportation: (b) accommodations: and (c) other specified services arranged by the Travel Supplier for the covered trip.

  • Selective contracting arrangement means an arrangement in which the NJ FamilyCare Program participates in selective contracting with one or more providers, and which arrangement contains reasonable benefit differentials, including, but not limited to, predetermined fee or reimbursement rates for covered benefits applicable to participating and nonparticipating providers.

  • Management Letter means formal communications from the auditor to the client management in accordance with the International Standard on Auditing 265 (communicating deficiencies in internal control to those charged with governance and management), which is not required to be provided separately as it is equivalent to the Audit Findings and Recommendations prepared by the Project auditor and submitted to ADB;

  • Life-of-the-unit, firm power contractual arrangement means a unit participation power sales agreement under which a utility or industrial customer reserves, or is entitled to receive, a specified amount or percentage of nameplate capacity and associated energy from any specified unit and pays its proportional amount of such unit's total costs, pursuant to a contract:

  • Hotel Management Agreement means any hotel management agreement relating to the management and operation of the Real Property together with all supplements, amendments and modifications thereto.

  • Simplified and/or aggregate billing arrangement means a billing arrangement providing additional medical gap benefits.

  • New Management Agreement means the management agreement to be entered into between Buyer and the Manager for the operation and management of the Hotel on and after the Closing Date.

  • Management Arrangements means the arrangements for the strategic management of the relationship between the Authority and the Contractor, including arrangements for monitoring of the Contractor’s compliance with the Specification, the Service Levels, the Award Procedures and the terms of this Framework Agreement, set out in Schedule 4.

  • Financial Closure or Project Financing Arrangements means the agreements pursuant to which the SPG has sought financing for the Power Project including the loan agreements, security documents, notes, indentures, security agreements, letters of credit and other documents, as may be amended, modified, or replaced from time to time, but without in anyway increasing the liabilities of JDVVNL.

  • Charter Agreement means an agreement made in accordance with Section 53G-5-303 that authorizes the operation of a charter school.

  • Security Management Plan means the Supplier's security management plan prepared pursuant to paragraph 3 of schedule 2 an outline of which is set out in paragraph 2.7 of the Order Form as updated from time to time;

  • Credit Risk Management Agreement The respective agreements between the Credit Risk Manager and the Servicer and/or Master Servicer regarding the loss mitigation and advisory services to be provided by the Credit Risk Manager.

  • Property Management Agreement means any Property Management Agreement between the Company and the Property Manager.

  • Common Billing Agreement means an agreement between the Appointee and any other person under which that person has undertaken to pay, on terms agreed between them, charges for water supply or sewerage services, or both, in respect of two or more Houses which have a common Supply Pipe and which, in any case where that agreement relates to one of those services only, are also subject to a similar agreement for common billing between that person and the undertaker providing the other service;

  • Training Agreement means an agreement registered under the provisions of the Industrial and Commercial Training Act 1985.

  • Factoring Agreement means an agreement by and between a Borrower or a Subsidiary of a Borrower and a Factoring Company pursuant to which a Borrower or such Subsidiary shall, pursuant to customary terms for the size and type of transaction involved, sell, transfer and assign its rights, title and interests in certain accounts receivable, specifically identified therein, to a Factoring Company.

  • Nursing Care Plan means a plan of care developed by a nurse that describes the medical, nursing, psychosocial, and other needs of a child and how those needs shall be met. The Nursing Care Plan includes which tasks shall be taught, assigned, or delegated to the qualified provider or family.