PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form LTC-03
for the current year.
Form LTC-03 Nursing Facility Transition Grant Application - Alaska
What Is Form LTC-03?
This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LTC-03?
A: Form LTC-03 is an application for the Nursing Facility Transition Grant in Alaska.
Q: What is the purpose of the Nursing Facility Transition Grant?
A: The purpose of the Nursing Facility Transition Grant is to assist individuals in transitioning from a nursing facility to home or community-based settings.
Q: Who can apply for the Nursing Facility Transition Grant?
A: Individuals eligible for Medicaid, who are currently residing in a nursing facility, or their legal representatives can apply for the grant.
Q: What is the deadline for submitting the application?
A: The deadline for submitting the application is specified in the application instructions.
Q: What types of expenses does the grant cover?
A: The grant covers expenses related to transitioning from a nursing facility to home or community-based settings, including but not limited to housing, transportation, and supportive services.
Q: Are there any income or asset limits to be eligible for the grant?
A: Yes, there are income and asset limits. Eligibility criteria and limits are described in the application instructions.
Q: Can I apply for the grant on behalf of someone else?
A: Yes, legal representatives can apply for the grant on behalf of individuals eligible for Medicaid.
Q: Do I need to provide supporting documentation with the application?
A: Yes, supporting documentation is required. The specific documents needed are outlined in the application instructions.
Form Details:
- Released on January 2, 2020;
- The latest edition provided by the Alaska Department of Health and Social Services;
- 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 fillable version of Form LTC-03 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
Download Form LTC-03 Nursing Facility Transition Grant Application - Alaska
1
2
3
