Form ODM09405 Personal Needs Allowance (Pna) Account Remittance Notice - Ohio

Form ODM09405 Personal Needs Allowance (Pna) Account Remittance Notice - Ohio

What Is Form ODM09405?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ODM09405?
A: Form ODM09405 is a Personal Needs Allowance (PNA) Account Remittance Notice for Ohio.

Q: What is a Personal Needs Allowance (PNA) Account?
A: A Personal Needs Allowance (PNA) Account is a fund that provides spending money for individuals residing in certain healthcare facilities.

Q: What is the purpose of Form ODM09405?
A: The purpose of Form ODM09405 is to provide a notice of remittance for the Personal Needs Allowance (PNA) Account.

Q: Who uses Form ODM09405?
A: Form ODM09405 is used by individuals or their representatives who receive funds through the Personal Needs Allowance (PNA) Account in Ohio.

Q: Do I need to fill out Form ODM09405?
A: Yes, if you receive funds through the Personal Needs Allowance (PNA) Account in Ohio, you need to fill out Form ODM09405.

Q: Is there a deadline for submitting Form ODM09405?
A: The deadline for submitting Form ODM09405 may vary. It is recommended to check the instructions or contact the Ohio Department of Medicaid for specific deadlines.

Q: What information should I provide on Form ODM09405?
A: You should provide information like your name, address, PNA Account number, remittance amount, and any changes to your contact information.

Q: Can I make changes to my Personal Needs Allowance (PNA) Account using Form ODM09405?
A: No, Form ODM09405 is only for providing a notice of remittance. To make changes to your Personal Needs Allowance (PNA) Account, you may need to contact the Ohio Department of Medicaid.

Q: Are there any fees associated with the Personal Needs Allowance (PNA) Account?
A: No, there are no fees associated with the Personal Needs Allowance (PNA) Account in Ohio.

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Form Details:

  • Released on April 1, 2021;
  • The latest edition provided by the Ohio Department of Medicaid;
  • 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 ODM09405 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM09405 Personal Needs Allowance (Pna) Account Remittance Notice - Ohio

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