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Date:July 20, 2021, Agenda Item No. 10(A)(1)To:Honorable Chairman Jose Pepe Diaz And Members, Board of County CommissionersFrom:Daniella Levine Cave MayorSubject:Resolution Approving the Issuance

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LTC 084 is a form related to long-term care programs, specifically for reporting updates on certain required information.

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Entities or individuals involved in long-term care operations who have previously submitted LTC forms are required to file LTC 084.

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To fill out LTC 084, one must provide accurate and updated information regarding their long-term care services as specified in the form's instructions.

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The purpose of LTC 084 is to ensure that regulatory bodies have the latest information on long-term care operations for compliance and oversight.

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Information that must be reported includes any changes in services, ownership, facilities, staffing, and financial data relevant to long-term care operations.

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