Expedite Nursing Home Application System

The Expedite Online Nursing Home Application System is available to nursing home providers who wish to submit application forms and related documents online.

• Frequently Asked Questions 
• Expedite System - Training Presentation
• Expedite System - Training Video - 6/13/13 
• Expedite System - User Training Manual for Medicaid Staff - 6/24/13
• Scanning to PDF - Recommended guidelines for nursing homes to use when scanning documents for submission with an application
• Medicaid District Office Contact Information

• Form 202 - Appointment of Representative
• Form 204-205 - Application/Redetermination for Elderly and Disabled Programs
• Form 214 - Intent to Return Home
• Form 226 - Agreement to Sell Property
• Form 227 - Spousal Allocation Agreement
• Form 234 - Property Statement
• Form 234 - Statement of Claimant or Other Person
• Form 236 - Burial Fund Designation
• Form 262 - Qualifying Income Trust Packet
• Form 295 - Recipient Change Form