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MONTANA DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES Office of Inspector General Licensure Bureau 2401 Colonial Drive P.O. Box 202953 Helena, MT 596202953 FAX: (406) 4441742 APPLICATION FOR MONTANA
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How to fill out montana dphhs ltc application

01
Obtain a Montana DPHHS LTC application form.
02
Fill out all sections of the application form accurately and completely.
03
Provide all necessary documentation such as proof of identity, income, and residency.
04
Submit the completed application form and supporting documents to the appropriate DPHHS office or online portal.
05
Follow up with DPHHS to ensure that your application has been received and processed.

Who needs montana dphhs ltc application?

01
Individuals who are seeking long-term care services and assistance from the Montana Department of Public Health and Human Services (DPHHS) need to fill out the LTC application.
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The montana dphhs ltc application is the application form used to apply for long term care services in Montana.
Individuals who are in need of long term care services in Montana are required to file the montana dphhs ltc application.
You can fill out the montana dphhs ltc application by providing all required information about your medical history, financial situation, and long term care needs.
The purpose of montana dphhs ltc application is to assess an individual's eligibility for long term care services in Montana.
Information such as medical history, financial situation, and long term care needs must be reported on the montana dphhs ltc application.
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