Get Virginia Department For Aging And Rehabilitative Services (dars) Auxiliary Grant Program

Filling out the Virginia Department for Aging and Rehabilitative Services Auxiliary Grant Program form online is a crucial step in managing financial support for eligible individuals. This guide aims to provide clear and concise instructions to help users navigate the form efficiently.

Follow the steps to complete the form with ease.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editing tool.
2. Begin by completing the heading section. Provide essential information such as the AG case number, provider name, recipient name, social security number, date of birth, address, and Medicaid ID number.
3. Move to Section I, designated for the provider's completion. Indicate the patient’s admission date to the facility, the level of care (residential or assisted living), and any relevant discharge information, including the discharge date and location.
4. In Section I, document any changes in the patient’s status, such as income adjustments or the need for an assessment, providing an explanation if necessary. Ensure to include the preparer's name, title, and contact information.
5. Proceed to Section II, which must be completed by the local DSS. Fill in the eligibility information, including the dates for Auxiliary Grant and Medicaid approvals or denials, and any relevant details about resource transfers that may affect eligibility.
6. Enter the approved AG rate and the relevant months for which the rates apply. Remember, providers cannot collect more than the AG rate, and any excess income must be retained by the patient.
7. Complete the form by entering the worker's name, agency name, telephone number, and the date the form was finished.
8. Review all entered information for accuracy and completeness. Once confirmed, save your changes, and proceed to download, print, or share the completed form as needed.

Start filling out your DARS Auxiliary Grant Program form online today to ensure timely processing of your application.