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0DE ZIP CODE (AREA CODE) EXECUTIVE DIRECTOR OF APPLICANT MLTCP STREET ADDRESS CITY TELEPHONE NUMBER (AREA CODE) CHAIRMAN OF THE BOARD OF APPLICANT STREET ADDRESS CITY TELEPHONE NUMBER APPLICATION TYPE: (AREA CODE) Managed Long Term Care Plan MODEL: TAX STATUS: PACE Privately Held Medicaid Advantage Plus MLTC Partial Capitation Not-for-Profit Publicly Traded for Profit FEDERAL Employer ID# Signature of Executive Director of APPLICANT Date: Sig.

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The surveys take place every 9 to 15 months, with an average of every 12 months. WHY ARE SURVEYS PERFORMED? Surveys are conducted to make sure that the long term care facility is meeting state and federal standards which spell out very specifically how care must be provided to long term care facility residents.

What is managed long-term care (MLTC)? Managed long-term care (MLTC) helps people who are chronically ill or have disabilities and who need health and long-term care services, such as home care or adult day care, stay in their homes and communities as long as possible.

The primary purpose of the study is to provide the NYSDOH with information regarding member satisfaction with the quality, accessibility, and timeliness of services provided by MLTC plans.

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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