Web31 de mai. de 2024 · Long Term Care (LTC) Facility Notification System (Form 148) Electronic Form 148, Notification of Admission, Status Change or Discharge for Facility Care: Medicaid Subrogation Request Form: This form is to be completed by Attorney's and/or Insurance Companies to request subrogations from the Medicaid Recovery Unit. WebApplication for Personal Services Agency Certification. PSA Initial Application Checklist. PSA License Fees: $500 for initial certification. $350 for annual recertification. $350 for a change in an ownership interest of more than 25 percent.
Long-Term Services And Supports Executive Office of Health and …
Web14 de abr. de 2024 · For More Information. DHS Long-Term Care Offices - Call (401) 574-8474 or 1 (855) 697-4347. OHA Home Care - Visit our website. The POINT - Call (401) 462-4444. Web29 de mar. de 2024 · Application Process. To apply for the Long Term–Personal Care Services Program, persons should contact Louisiana Options in Long-Term Care at … convert exe to zip
Medicaid Forms/Applications - Virginia Department of Social …
WebHFS3191.aspxThe Department of Healthcare and Familiy Services (HFS) is responsible for the Medicaid Long Term Care (LTC) program for approximately 55,000 eligible residents in 738 nursing facilities licensed by the Illinois Department of Public Health.The mission is to ensure that the LTC services for which the department pays are appropriate for and meet … WebMailing Address: Louisiana Department of Health P. O. Box 629 Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street Baton Rouge, LA 70802 PHONE: 225-342 … WebLong-term Care Program. Providing Long-Term Care (LTC) services to Florida's most vulnerable citizens is a multi-agency effort. The Agency for Health Care Administration (AHCA) administers the Statewide Medicaid Managed Care (SMMC) Long-Term Care program, sets coverage policy, and gets those eligible for services enrolled in a LTC … fallout wandbild