Form LTC-49 Mltss Voluntary Withdrawal Form - New Jersey

Form LTC-49 Mltss Voluntary Withdrawal Form - New Jersey

What Is Form LTC-49?

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-49 Mltss Voluntary Withdrawal Form?
A: Form LTC-49 Mltss Voluntary Withdrawal Form is a form used in New Jersey for voluntary withdrawal from the Managed Long-Term Services and Supports (MLTSS) program.

Q: What is MLTSS?
A: MLTSS stands for Managed Long-Term Services and Supports, which is a program in New Jersey that provides long-term care services and supports to eligible individuals.

Q: Who can use Form LTC-49 Mltss Voluntary Withdrawal Form?
A: The form can be used by individuals in New Jersey who wish to voluntarily withdraw from the MLTSS program.

Q: Are there any fees associated with Form LTC-49 Mltss Voluntary Withdrawal Form?
A: No, there are no fees associated with submitting Form LTC-49 Mltss Voluntary Withdrawal Form.

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Form Details:

  • Released on October 1, 2018;
  • 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-49 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.

Download Form LTC-49 Mltss Voluntary Withdrawal Form - New Jersey

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