Form CP-4 Pace Request for Waiver of Nursing Facility Level of Care Recertification - New Jersey

What Is Form CP-4?

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 CP-4 Pace Request for Waiver of Nursing Facility Level of Care Recertification?
A: Form CP-4 Pace Request for Waiver of Nursing Facility Level of Care Recertification is a document used in New Jersey to request a waiver of the nursing facility level of care recertification for the Pace program.

Q: What is the purpose of Form CP-4 Pace Request for Waiver of Nursing Facility Level of Care Recertification?
A: The purpose of this form is to request a waiver of the nursing facility level of care recertification for individuals enrolled in the Pace program, allowing them to receive care services at home or in the community instead of a nursing facility.

Q: Who is eligible to request a waiver using Form CP-4 Pace Request for Waiver of Nursing Facility Level of Care Recertification?
A: Individuals who are enrolled in the Pace program in New Jersey and wish to receive care services at home or in the community instead of a nursing facility are eligible to request a waiver using this form.

Q: Are there any fees associated with submitting Form CP-4 Pace Request for Waiver of Nursing Facility Level of Care Recertification?
A: No, there are no fees associated with submitting this form.