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  • Fl Ahca Form 3120-0002 2014

Get Fl Ahca Form 3120-0002 2014-2025

Resident or by the resident s physician or legal guardian or representative. Resident Information Nursing Home Information Name: Name: Medicaid ID # (if applicable): Address: Resident Representative (if applicable) Name: Phone: Address:.

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NOTICE OF TRANSFER DISCHARGE
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• "Discharge" means movement from a facility to non institutional setting when the discharging. facility ceases to be legally responsible for the care of the resident. (Examples include but are not limited to: resident's home, adult foster care, children's home).

A resident cannot be discharged unless the nursing home develops a written discharge plan. The discharge plan must: Be developed by your doctor or, the nursing facility's medical director together with other medical staff.

The usual discharge process involves informing patients and their families of the provider recommendation that the patient be discharged to a skilled nursing facility, at which time a list of nursing homes is provided, and the patient and family are instructed to make a choice.

The Intent Transfer or Discharge Letter provides: Situations and reasons for a facility transfer or discharge of a resident. Notification of the right to appeal. Agencies to copy the letter, including the State LTC Ombudsman.

If a resident is to be transferred or discharged, the facility must provide adequate notice to the resident and the resident's family member, guardian, or legal representative, in writing, at least 30 days in advance.

Skilled nursing facilities (SNFs) often tell Medicare beneficiaries and their families that they intend to “discharge” a Medicare beneficiary because Medicare will not pay for the beneficiary's stay under either Part A (traditional Medicare) or Part C (Medicare Advantage).

A hospital will discharge you when you no longer need to receive inpatient care and can go home. Or, a hospital will discharge you to send you to another type of facility or help you coordinate home care.

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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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