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Tc0131 document tenncare 2013 form

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The document is an application form for TennCare's Long Term Services and Supports (LTSS) program, intended for Tennessee residents who require care in a long-term facility or at home. It includes sections for personal information, household details, income verification, health insurance status, and asset disclosure. The form also outlines the rights and responsibilities of applicants and provides guidance on how to seek assistance during the application process.

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