This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form ODM09405?
A: Form ODM09405 is a Personal Needs Allowance (PNA) Account Remittance Notice for Ohio.
Q: What is a Personal Needs Allowance (PNA) Account?
A: A Personal Needs Allowance (PNA) Account is a fund that provides spending money for individuals residing in certain healthcare facilities.
Q: What is the purpose of Form ODM09405?
A: The purpose of Form ODM09405 is to provide a notice of remittance for the Personal Needs Allowance (PNA) Account.
Q: Who uses Form ODM09405?
A: Form ODM09405 is used by individuals or their representatives who receive funds through the Personal Needs Allowance (PNA) Account in Ohio.
Q: Do I need to fill out Form ODM09405?
A: Yes, if you receive funds through the Personal Needs Allowance (PNA) Account in Ohio, you need to fill out Form ODM09405.
Q: Is there a deadline for submitting Form ODM09405?
A: The deadline for submitting Form ODM09405 may vary. It is recommended to check the instructions or contact the Ohio Department of Medicaid for specific deadlines.
Q: What information should I provide on Form ODM09405?
A: You should provide information like your name, address, PNA Account number, remittance amount, and any changes to your contact information.
Q: Can I make changes to my Personal Needs Allowance (PNA) Account using Form ODM09405?
A: No, Form ODM09405 is only for providing a notice of remittance. To make changes to your Personal Needs Allowance (PNA) Account, you may need to contact the Ohio Department of Medicaid.
Q: Are there any fees associated with the Personal Needs Allowance (PNA) Account?
A: No, there are no fees associated with the Personal Needs Allowance (PNA) Account in Ohio.
Form Details:
Download a fillable version of Form ODM09405 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.