Instructions for Form LTC-2 Notification From Long-Term Care Facility Admission or Termination of a Medicaid Beneficiary - New Jersey

Form LTC-2 Notification From Long-Term Care Facility Admission or Termination of a Medicaid Beneficiary - New Jersey

This document contains official instructions for Form LTC-2 , Notification From Long-Term Care Facility Admission or Termination of a Medicaid Beneficiary - a form released and collected by the New Jersey Department of Human Services. An up-to-date fillable Form LTC-2 is available for download through this link.

FAQ

Q: What is Form LTC-2?A: Form LTC-2 is a notification form for the admission or termination of a Medicaid beneficiary in a long-term care facility in New Jersey.

Q: Who needs to complete Form LTC-2?A: The long-term care facility is responsible for completing Form LTC-2.

Q: When should Form LTC-2 be completed?A: Form LTC-2 should be completed and submitted within 10 days of the admission or termination of a Medicaid beneficiary.

Q: Are there any fees associated with submitting Form LTC-2?A: There are no fees associated with submitting Form LTC-2.

Q: What information is required on Form LTC-2?A: Form LTC-2 requires information such as the Medicaid beneficiary's name, date of admission or termination, facility information, and Medicaid ID number.

Q: What is the purpose of submitting Form LTC-2?A: Submitting Form LTC-2 notifies the New Jersey Department of Human Services about the admission or termination of a Medicaid beneficiary in a long-term care facility.

Q: What happens after Form LTC-2 is submitted?A: After Form LTC-2 is submitted, the New Jersey Department of Human Services updates their records and ensures appropriate Medicaid coverage for the beneficiary.

Q: Is Form LTC-2 mandatory?A: Yes, the completion and submission of Form LTC-2 is mandatory for long-term care facilities in New Jersey.