Form 214 Medicaid Agency Statement of Intent to Return Home - Alabama

What Is Form 214?

This is a legal form that was released by the Alabama Department of Public Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 214 Medicaid Agency Statement of Intent to Return Home?
A: Form 214 Medicaid Agency Statement of Intent to Return Home is a document used in Alabama to declare the intention of a Medicaid recipient to return home from a nursing facility.

Q: Who needs to fill out Form 214 Medicaid Agency Statement of Intent to Return Home?
A: The Medicaid recipient or their authorized representative needs to fill out Form 214.

Q: What is the purpose of Form 214 Medicaid Agency Statement of Intent to Return Home?
A: The purpose of Form 214 is to inform the Medicaid agency about the recipient's plan to return home, so their benefits can be modified accordingly.

Q: Is there a deadline for submitting Form 214 Medicaid Agency Statement of Intent to Return Home?
A: There may be a deadline for submitting Form 214, so it is recommended to contact the Alabama Medicaid Agency for specific information.