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Appendix D (Spanish).pdf

abd-ltc-appendix-d-spanish-030123.pdf

🔗 Source: coverva.dmas.virginia.gov

📊 Size: 130 KB

👤 Author: Virginia Medicaid

⬇️ Downloads: 93

Summary

Application for Health Coverage and Help Paying Costs requires completion of Appendix D for individuals with disabilities, 65 or older, in need of long-term care, or medically needy. Appendix D gathers additional information to determine eligibility for Health Care Coverage and must be submitted with the application. The appendix is divided into sections:

1. Household Information: marital status, previous health care coverage, and temporary household absences.
2. Disability Information (for applicants under 65): disability status, Social Security or SSI applications, and appeal outcomes.
3. Long-term Care: nursing facility care, assisted living, and long-term care insurance.
4. Resources and Assets: transfers of resources, cash on hand, bank accounts, investments, annuities, and life insurance.

The application requires detailed information about the applicant's household, disability status, long-term care needs, and financial resources to determine eligibility for health care coverage.

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Description

Application for Health Coverage and Help Paying Costs requires completion of Appendix D for individuals with disabilities, 65 or older, in need of long-term...

Technical Information

File Format: PDF
File Size: 130 KB
Pages: 8
Language: EN
Author: Virginia Medicaid
Total Downloads: 93
Last Updated: 1 week ago

Document Overview

This PDF document about Appendix D (Spanish) provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Appendix D (Spanish).