Form AL-6 Assisted Living / Adult Family Care (Al / Afc) Referral for the Managed Long Term Services and Supports (Mltss) Medicaid Waiver - New Jersey

Form AL-6 Assisted Living / Adult Family Care (Al / Afc) Referral for the Managed Long Term Services and Supports (Mltss) Medicaid Waiver - New Jersey

What Is Form AL-6?

This is a legal form that was released by the New Jersey Department of Human Services - a government authority operating within New Jersey. Check the official instructions before completing and submitting the form.

FAQ

Q: What is Form AL-6?
A: Form AL-6 is a referral form for the Managed Long Term Services and Supports (MLTSS) Medicaid Waiver in New Jersey.

Q: What is Assisted Living/Adult Family Care (AL/AFC)?
A: Assisted Living/Adult Family Care (AL/AFC) is a type of long-term care option for individuals who need assistance with activities of daily living.

Q: What is the MLTSS Medicaid Waiver?
A: The MLTSS Medicaid Waiver is a program that provides long-term care services to eligible individuals in their home or community.

Q: Who is eligible for the MLTSS Medicaid Waiver?
A: Eligibility for the MLTSS Medicaid Waiver is based on income, assets, and functional eligibility criteria.

Q: What is the purpose of Form AL-6?
A: The purpose of Form AL-6 is to refer individuals to the MLTSS Medicaid Waiver program for Assisted Living/Adult Family Care services.

Q: Are there any fees associated with the MLTSS Medicaid Waiver?
A: There may be fees associated with the MLTSS Medicaid Waiver program, depending on the individual's income and assets.

Q: How long does it take to process a Form AL-6 referral?
A: The processing time for a Form AL-6 referral may vary, but it is generally processed within a certain timeframe set by the MLTSS Medicaid Waiver program.

Q: What other services are covered under the MLTSS Medicaid Waiver?
A: The MLTSS Medicaid Waiver covers a variety of services, including personal care, home health care, and assisted living.

Q: Can I apply for the MLTSS Medicaid Waiver if I already live in an assisted living facility?
A: Yes, individuals already living in an assisted living facility may be eligible to apply for the MLTSS Medicaid Waiver program.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the New Jersey Department of Human 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 printable version of Form AL-6 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.

Download Form AL-6 Assisted Living / Adult Family Care (Al / Afc) Referral for the Managed Long Term Services and Supports (Mltss) Medicaid Waiver - New Jersey

4.6 of 5 (8 votes)
  • Form AL-6 Assisted Living / Adult Family Care (Al / Afc) Referral for the Managed Long Term Services and Supports (Mltss) Medicaid Waiver - New Jersey, Page 1
ADVERTISEMENT