Get Online Money Follows The Person Ct Application Form 2015-2025

This guide provides clear instructions on how to effectively complete the Online Money Follows The Person Ct Application Form. It is designed to assist individuals and their representatives in navigating the application process with ease and confidence.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain and open the form in your chosen editor.
2. Begin with the top section where you will need to provide your 'Date received', which is typically filled by the agency upon submission. This is followed by selecting the appropriate 'Department of Social Services'.
3. Fill in your details in the application fields. You will be asked for your personal information including your 'First Name', 'Last Name', 'Date of Birth', and 'Social Security Number'. Ensure that all entries are accurate.
4. Indicate your sex by circling either 'Male' or 'Female'. This information is often used for statistical purposes.
5. Inquire about your current living situation. You will need to state if you are living in a nursing home or any other facility by circling 'YES' or 'NO'.
6. Provide the address of your current residence, including the name of the facility and your zip code.
7. Answer whether you are currently receiving or have pending Medicaid status through the State of Connecticut by circling the appropriate option: 'YES', 'NO', or 'UNKNOWN'.
8. You will need to state your desire to move back to the community by selecting 'YES' or 'NO'.
9. Enter your best contact telephone number where you can be reached.
10. Indicate your intended address after leaving the nursing home.
11. Specify if you use a wheelchair or walker by marking 'YES' or 'NO'.
12. Briefly describe the event that led you to reside in the nursing home.
13. Identify any family member or friend who will assist you upon moving to the community, providing their name and marking 'YES' or 'NO'.
14. If applicable, complete the section concerning any conservator or authorized representative, including their contact number and address.
15. After filling in all the necessary information, review your application for any errors or omissions. If there are fields you are unsure about, write 'unsure' as instructed.
16. Once satisfied with your application, you can save changes, download, print, or share the form as needed.

Take the next step towards your transition by completing the Online Money Follows The Person Ct Application Form today.