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BHF Form 2-L (NF) Rev. 06/11 Prior Issue Obsolete Renewal Month: Medicaid Renewal Form COLD/WAR: for Nursing Home/Group Home Care Return this form or call us by: Use this form to renew Medicaid coverage
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LTC nursing home/group home provides long-term care services for individuals who need assistance with daily activities such as bathing, dressing, and medication management.
LTC nursing home/group home administrators or owners are required to file the necessary documentation for operation.
To fill out LTC nursing home/group home forms, administrators must provide details about the facility, residents, staff, and care provided.
The purpose of LTC nursing home/group home is to provide a safe and comfortable living environment for individuals who require long-term care services.
Information such as resident demographics, staff qualifications, care plans, and facility policies must be reported on LTC nursing home/group home forms.
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