This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in French. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 16-247?
A: DSHS Form 16-247 is a form that explains your rights and responsibilities when you receive MAC or TSOA services offered by the Aging and Long-Term Support Administration in Washington.
Q: What are MAC and TSOA services?
A: MAC stands for Medicaid Alternative Care and TSOA stands for Tailored Supports for Older Adults. These are services provided by the Aging and Long-Term Support Administration in Washington to support eligible individuals in their long-term care needs.
Q: What does this form explain?
A: This form explains the rights you have as a recipient of MAC or TSOA services, as well as the responsibilities you have in ensuring that you receive the appropriate care and support.
Q: Is this form available in languages other than English?
A: Yes, this specific form is available in French.
Form Details:
Download a printable version of DSHS Forme 16-247 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.