Ltca State Plan Care Services Transfer Form - Washington, D.C.

Ltca State Plan Care Services Transfer Form - Washington, D.C.

Ltca Care Services Transfer Form is a legal document that was released by the Washington DC Department of Health Care Finance - a government authority operating within Washington, D.C..

FAQ

Q: What is the Ltca State Plan Care Services Transfer Form?A: The Ltca State Plan Care Services Transfer Form is a document used in Washington, D.C. for transferring long-term care services.

Q: Who uses the Ltca State Plan Care Services Transfer Form?A: The form is used by individuals who are receiving long-term care services in Washington, D.C.

Q: What is the purpose of the Ltca State Plan Care Services Transfer Form?A: The purpose of the form is to allow for the transfer of long-term care services from one provider to another.

Q: How do I obtain a Ltca State Plan Care Services Transfer Form?A: You can obtain the form by contacting the appropriate agency or department in Washington, D.C. that oversees long-term care services.

Q: What information is required on the Ltca State Plan Care Services Transfer Form?A: The form typically requires information such as the individual's name, contact information, current long-term care provider, and the name of the new provider.

Q: Are there any fees associated with the Ltca State Plan Care Services Transfer Form?A: There may be fees or costs associated with transferring long-term care services, but these would be determined by the specific providers involved.

Q: Can I transfer my long-term care services to a provider outside of Washington, D.C.?A: Transferring long-term care services to a provider outside of Washington, D.C. may be possible, but it would depend on the specific circumstances and the availability of providers in the desired location.

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Form Details:

  • Released on February 3, 2016;
  • The latest edition currently provided by the Washington DC Department of Health Care Finance;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Washington DC Department of Health Care Finance.

Download Ltca State Plan Care Services Transfer Form - Washington, D.C.

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