Form preview

Get the free 13-02 Addendum to PA-1G Medicaid Application - newjersey

Get Form
State of New Jersey DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL ASSISTANCE AND HEALTH SERVICES CHRIS CHRISTIE Governor P.O. Box 712 Trenton, NJ 08625-0712 JENNIFER VELEZ Commissioner KIM GUANO
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign 13-02 addendum to pa-1g

Edit
Edit your 13-02 addendum to pa-1g form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your 13-02 addendum to pa-1g form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing 13-02 addendum to pa-1g online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to benefit from a competent PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit 13-02 addendum to pa-1g. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Create an account to find out for yourself how it works!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
57 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

By combining pdfFiller with Google Docs, you can generate fillable forms directly in Google Drive. No need to leave Google Drive to make edits or sign documents, including 13-02 addendum to pa-1g. Use pdfFiller's features in Google Drive to handle documents on any internet-connected device.
Get and add pdfFiller Google Chrome Extension to your browser to edit, fill out and eSign your 13-02 addendum to pa-1g, which you can open in the editor directly from a Google search page in just one click. Execute your fillable documents from any internet-connected device without leaving Chrome.
You can do so easily with pdfFiller’s applications for iOS and Android devices, which can be found at the Apple Store and Google Play Store, respectively. Alternatively, you can get the app on our web page: https://edit-pdf-ios-android.pdffiller.com/. Install the application, log in, and start editing 13-02 addendum to pa-1g right away.
The 13-02 addendum to pa-1g is a supplemental form that provides additional information to the original pa-1g filing.
Entities or individuals who have previously filed a pa-1g form and need to provide extra details are required to file the 13-02 addendum.
The 13-02 addendum should be completed with the requested information and submitted according to the instructions provided by the governing body.
The purpose of the 13-02 addendum is to ensure that all relevant information is disclosed for regulatory compliance and transparency.
The specific information required on the 13-02 addendum will vary depending on the details requested by the regulating authority.
Fill out your 13-02 addendum to pa-1g online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.