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Form LTC-37 Assisted Living Facility - Provider Enrollment Statement of Intent to Accept Room and Board (R&b) Supplementation - New Jersey
What Is Form LTC-37?
This is a legal form that was released by the New Jersey Department of Human Services - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LTC-37?
A: Form LTC-37 is the Assisted Living Facility - Provider Enrollment Statement of Intent to Accept Room and Board (R&b) Supplementation form in New Jersey.
Q: What is the purpose of Form LTC-37?
A: The purpose of Form LTC-37 is to indicate the intent of an assisted living facility to accept room and board (R&b) supplementation in New Jersey.
Q: What does R&b supplementation mean?
A: R&b supplementation refers to the additional financial support provided to eligible individuals residing in an assisted living facility to cover the cost of room and board.
Q: Who needs to complete Form LTC-37?
A: Assisted living facility providers in New Jersey who wish to accept room and board (R&b) supplementation need to complete Form LTC-37.
Q: Are there any fees associated with submitting Form LTC-37?
A: No, there are no fees associated with submitting Form LTC-37.
Q: What information is required on Form LTC-37?
A: Form LTC-37 requires information about the assisted living facility, including its name, address, contact information, and the provider type.
Q: Is Form LTC-37 mandatory for all assisted living facilities in New Jersey?
A: Yes, all assisted living facilities in New Jersey must complete Form LTC-37 if they intend to accept room and board (R&b) supplementation.
Q: Is there a deadline for submitting Form LTC-37?
A: There is no specific deadline mentioned for submitting Form LTC-37. However, it is recommended to submit the form as soon as possible after applying for a license or certification.
Q: What should be done with the completed Form LTC-37?
A: The completed Form LTC-37 should be mailed to the New Jersey Department of Health at the address mentioned on the form.
Form Details:
- Released on October 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 LTC-37 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.
