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Blue Shield of California Promise Health Plan 601 Pottery Grande Drive, Monterey Park, CA 91755Re: Custodial Longer Care (LTC) Authorization Request Formerly, Along with the TAR form, the following

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What is custodial long-term care ltcauthorization?

Custodial long-term care ltcauthorization is a form that authorizes an individual to receive long-term care services in a custodial setting.

Who is required to file custodial long-term care ltcauthorization?

The individual who is in need of long-term care services in a custodial setting is required to file the custodial long-term care ltcauthorization.

How to fill out custodial long-term care ltcauthorization?

To fill out the custodial long-term care ltcauthorization, the individual must provide personal information, medical history, and details about their long-term care needs.

What is the purpose of custodial long-term care ltcauthorization?

The purpose of custodial long-term care ltcauthorization is to ensure that individuals receive the necessary long-term care services in a custodial setting.

What information must be reported on custodial long-term care ltcauthorization?

Information such as personal details, medical history, and long-term care needs must be reported on the custodial long-term care ltcauthorization.

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