WebTo be eligible for Act 150 Services, you must: Be a resident of Pennsylvania. Meet the level of care needs for a Skilled Nursing Facility. Be between eighteen (18) and fifty-nine (59) years of age. Be capable of a) hiring, firing, and supervising attendant care worker (s); b) managing your own financial affairs; and c) managing your own legal ... WebCheck List of Items Needed for Your Long-Term Care / Waiver Application (Please keep this page for your records) SEND PROOF If you do not already receive Long-Term Care …
Medical Assistance - Maryland Department of Human Services
WebMar 23, 2024 · Data Collection (Forms) Library. Forms produced by the Wisconsin Department of Health Services are available electronically and/or for paper order. Review the "Available to Order" column below to ensure availability in paper format. If the document is available to order in a paper version, there will be a "Yes" with a link to ordering … how body produces urine
Forms & Applications - Michigan
Web• DHS-4574, Medicaid Application for Nursing Facility Patients, Long Term Care residents only. • DHS-1514, State Emergency Relief Application. Note: Local offices must assist clients who need and request help to complete the application forms; see Bridges Administrative Manual (BAM) 115, Application Processing. WebResource Limits (for one person) If your income is below or equal to 300 percent of the FBR (currently $2,130), the resource limit is $2,000 with an additional $6,000 resource disregard. If your income is above 300 percent of the FBR (currently $2,130), the resource limit is $2,400. Many individuals pay for LTC with personal funds and ... WebMDHHS-1171, Assistance Application A packet containing an application for assistance, an information booklet and a filing form. The best way to apply for assistance is online … how many pages are in the book hatchet