Ma 103 2025

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The document outlines the procedures for completing the Medical Assistance (MA) Admission & Discharge Transmittal (MA 103) form, which is required when a resident is admitted to or discharged from a long-term care facility. It includes detailed instructions for filling out resident and provider data, discharge planning, change of care recommendations, and transfer/discharge codes. The form must be completed by the facility or attending physician and submitted to the County Assistance Office within three days.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (136 Votes)
2015	4.3 Satisfied (52 Votes)

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