Forms for AGED Discounted Nursing Home & Assisted Living Facility
Important Note: AGED’s Discounted Fee Agreement is for individuals applying for/ on ICP or HCBS Medicaid and residing in a Nursing Home or Assisted Living Facility. Assets must be less than $5,000. If assets are above $5,000 please use AGED’s d(4)(C) Pooled Trust Documents.
These documents are available in PDF format, making it easy to download and print. If you do not have a PDF reader on your computer, you may download one here: Free Adobe Reader