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PRINTED: 07/09/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Gather necessary personal information, including your name, address, and Social Security number.
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Complete the application form for New Jersey long-term care assistance, ensuring all sections are filled out accurately.
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New Jersey Long Term refers to the New Jersey Long Term Care program, which provides financial assistance and support for individuals needing long-term care services.
Individuals who are applying for or receiving long-term care services in New Jersey are required to file New Jersey Long Term forms.
To fill out New Jersey Long Term forms, individuals need to provide personal information, details about their care needs, financial information, and any supporting documents required by the state.
The purpose of New Jersey Long Term is to provide assistance and resources for individuals requiring long-term care, ensuring they have access to necessary services and support.
The information that must be reported includes personal identification details, financial information, care requirements, and any other documentation relevant to the individual's eligibility for long-term care services.
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