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Form LTC-2 Notification From Long-Term Care Facility Admission or Termination of a Medicaid Beneficiary - New Jersey
What Is Form LTC-2?
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 LTC-2?
A: Form LTC-2 is the Notification From Long-Term Care Facility Admission or Termination of a Medicaid Beneficiary in New Jersey.
Q: What is the purpose of Form LTC-2?
A: The purpose of Form LTC-2 is to notify New Jersey Medicaid of the admission or termination of a beneficiary in a long-term care facility.
Q: Who needs to complete Form LTC-2?
A: The long-term care facility is responsible for completing Form LTC-2.
Q: When should Form LTC-2 be completed?
A: Form LTC-2 should be completed at the time of admission or termination of a Medicaid beneficiary in a long-term care facility.
Form Details:
- Released on July 1, 2014;
- 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 LTC-2 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.
