Get Money Follows The Person In North Carolina Form
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How to fill out the Money Follows The Person In North Carolina Form online
This guide provides step-by-step instructions on how to successfully fill out the Money Follows The Person In North Carolina Form online. By following these steps, users can ensure that all necessary information is accurately submitted for a smooth application process.
Follow the steps to complete the online application form effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill out the participant information section, including the participant's name, Social Security number, date of birth, Medicaid number, Medicare number, and their address. Be sure to provide alternate contact details.
- In the referral section, provide the name or agency making the referral, including their email address and contact information.
- Complete the responsible party section with the name, address, phone number, and relationship to the client. Ensure all fields are filled for clarity.
- If different, provide the LME/Lead agency information. Include agency contact details such as name, email, and address.
- In the facility information section, input the name of the facility where the participant currently lives, including the funding source, contact person, and duration of stay.
- Specify the preferred living arrangements for the participant, including the anticipated transition date if known. Select the appropriate option and provide any additional comments.
- After completing the form, remember to fill out the MFP Informed Consent form and the Video Release form, as these must be submitted alongside the application.
- Review all entries for accuracy and completeness before proceeding to submit the form. Email the completed forms to the specified address or fax them as indicated.
Complete your documents online to ensure a timely application process.
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An MFP program assists individuals in transitioning from institutional care to community living. It focuses on providing support services, financial assistance, and resources needed for a successful transition. Participants receive guidance throughout the process, ensuring they can live independently in their communities. The Money Follows The Person In North Carolina Form is an important aspect of enrolling in this program.
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