Long Term Care/Chronic Facility Private Daily Room Rate (Pdrr) Form is a legal document that was released by the Maryland Department of Health - a government authority operating within Maryland.
Q: What is the Long Term Care/Chronic Facility Private Daily Room Rate (Pdrr) Form?
A: The Long Term Care/Chronic Facility Private Daily Room Rate (Pdrr) Form is a document used in Maryland.
Q: Who uses the Long Term Care/Chronic Facility Private Daily Room Rate (Pdrr) Form?
A: Long term care and chronic facility providers in Maryland use this form.
Q: What is the purpose of the Long Term Care/Chronic Facility Private Daily Room Rate (Pdrr) Form?
A: This form is used to establish the private daily room rate for long term care and chronic facility residents in Maryland.
Q: What information does the Long Term Care/Chronic Facility Private Daily Room Rate (Pdrr) Form require?
A: The form requires information such as the facility name, resident's name, effective date, room type, and the proposed daily room rate.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.