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ICF/MR or MR Waiver Transfer Form To be used for transitions from ICF/MR to ICF/MR, ICF/MR to HCBS, or HCBS to ICF/MR A. RECIPIENT INFORMATION Name: Last First Middle DOB: Medicaid Number: Social.

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Categories. Medically Eligible. TennCare Medicaid. TennCare Standard. Uninsured.

The following items are all required before you can participate as a network provider: CHOICES Application. Apply for a Medicaid ID. TennCare Provider Registration. NPI Number. Site Visit Tool Checklist. Licensure from Applicable State of Tennessee Department. Agriculture. Commerce & Insurance. Health. ... CHOICES Forms.

Employment and Community First CHOICES is for people of all ages who have an intellectual or developmental disability (I/DD). This includes people who have significant disabilities. Services help people with I/DD gain as much independence as possible.

CHOICES is TennCare's program for long-term care services. Long-term care includes help doing everyday activities that you may not be able to do as you grow older or if you have a physical disability. These are activities like bathing, dressing and preparing meals. Long-term care can be provided in a nursing home.

Through the TennCare CHOICES program RHA provides home and community-based personal care, attendant care and respite services for adults with a physical disability and seniors (age 65 and older).

Veteran Directed Home & Community Based Care in TN The caregiving family member will be paid the hourly rate determined by the VA, typically $8-$21 per hour.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232