PDF
Word
Form 435 Nursing Facility Rate Request - Alabama
What Is Form 435?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 435?
A: Form 435 is a Nursing Facility Rate Request form.
Q: What is the purpose of Form 435?
A: The purpose of Form 435 is to request the nursing facility rate in Alabama.
Q: Who should fill out Form 435?
A: The nursing facility or their authorized representative should fill out Form 435.
Q: Is there a fee to submit Form 435?
A: There is no fee to submit Form 435.
Q: When should Form 435 be submitted?
A: Form 435 should be submitted at least 90 days prior to the proposed effective date of the rate change.
Q: Are there any supporting documents required with Form 435?
A: Yes, supporting documents such as cost reports and audited financial statements may be required with Form 435.
Q: What happens after submitting Form 435?
A: After submitting Form 435, the Alabama Medicaid Agency will review the request and notify the nursing facility of their decision.
Q: Who can I contact for more information about Form 435?
A: For more information about Form 435, you can contact the Alabama Medicaid Agency.
Form Details:
- Released on March 31, 2014;
- The latest edition provided by the Alabama Medicaid Agency;
- 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 435 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
