Get Tn Tc-0159 2015-2025

The TN TC-0159 is a crucial form for individuals seeking long-term care services in Tennessee. Completing this form accurately ensures that applicants receive the necessary level of care suited to their medical needs.

Follow the steps to fill out the TN TC-0159 online

1. Click ‘Get Form’ button to obtain the form. This will allow you to access the TN TC-0159 in its editable format.
2. Enter the applicant’s name in the designated field. Make sure it matches the person's legal name.
3. Input the applicant’s Social Security Number (SSN) accurately in the provided space. Double-check for errors.
4. Gather and attach a recent History and Physical report or other medical records that support the applicant's needs. Ensure this document is completed within the past 365 days.
5. If skilled nursing or rehabilitative services are being requested, ensure you have a separate Physician’s Order that includes the basis for these services.
6. Request a Physician (MD or DO), Nurse Practitioner, Physician Assistant, or Clinical Nurse Specialist to complete the certification of the level of care required by the applicant. This must be signed and dated.
7. Document the relevant diagnoses pertaining to the applicant’s functional and/or skilled nursing needs in the designated area.
8. If a recertification of the PAE is required, fill out the Certification Update section. Verify that the medical condition remains consistent with the initial certification.
9. Review all sections for accuracy and completeness before finalizing your submission.
10. Once completed, save your changes and proceed to download, print, or share the form as necessary.

Start completing your TN TC-0159 online today to ensure timely access to necessary services.