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NEW YORK STATE MEDICAID PROGRAMASSISTED LIVING PROGRAM (ALP)UB04 BILLING GUIDELINESAssisted Living Program UB04 Billing GuidelinesTABLE OF CONTENTS Section I Purpose Statement .................................................................

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How to fill out assisted living program rates

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Obtain the necessary forms from the assisted living program provider.

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Provide information about the resident's medical history, care needs, and preferences.

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Who needs assisted living program rates?

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Family members looking for the best care option for their elderly loved ones.

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What is assisted living program rates?

Assisted living program rates refer to the costs associated with providing services and care in an assisted living facility.

Who is required to file assisted living program rates?

Assisted living facilities are required to file their program rates with the relevant regulatory authorities.

How to fill out assisted living program rates?

Assisted living program rates can be filled out by providing detailed information about the costs involved in providing care and services to residents of the facility.

What is the purpose of assisted living program rates?

The purpose of assisted living program rates is to ensure transparency and accountability in the pricing of services within assisted living facilities.

What information must be reported on assisted living program rates?

Information such as room and board costs, additional fees for services, and any financial assistance options available must be reported on assisted living program rates.

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