Download Free DHS-3340-ENG 3-11 Minnesota Health Care Programs Asset Assessment for Medical Assistance (MA) Payment of Long-Term Care (LTC) Services

Download Free DHS-3340-ENG 3-11 Minnesota Health Care Programs Asset Assessment for Medical Assistance (MA) Payment of Long-Term Care (LTC) Services

Download and use this form for the following services –

  • You received or expect to receive 30 uninterrupted days of long-term care (LTC) services. LTC services include nursing home care or services to help you stay in your home through the Elderly Waiver (EW) or Alternative Care (AC) program. ƒ
  • You are married.ƒ
  • Your spouse does not live in a long-term care facility such as a nursing home.ƒ
  • Your spouse is not getting services to help him or her stay in their home through the EW,
  • Community Alternatives for Disabled Individuals (CADI), Community Alternative Care (CAC),
  • Developmental Disabilities (DD) or Traumatic Brain Injury (TBI) waiver programs.

Download Free DHS-3340-ENG 3-11 Minnesota Health Care Programs Asset Assessment for Medical Assistance (MA) Payment of Long-Term Care (LTC) Services

Download DHS_3340_ENGx1dfa6ad8z139688bc368z2d86gxgxgxo.pdf (Unknown)

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Download Free DHS-3340-ENG 3-11 Minnesota Health Care Programs Asset Assessment for Medical Assistance (MA) Payment of Long-Term Care (LTC) Services, 5.0 out of 5 based on 1 rating

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