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Get the free SCHOOL BASED PERSONAL CARE MEDICAID LOG SHEET (Page 1 of 2) - wvde state wv

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SCHOOL BASED PERSONAL CARE MEDICAID LOG SHEET (Page 1 of 2) Total Number of Allowable Units (28 15 minute units per instructional day) Medicaid Numberless NameFirst NameCountySchoolProcedure Code00000000001DoeJane059201T1019
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Step 1: Start by gathering all the necessary information and documents required to fill out the school-based personal care form.
02
Step 2: Carefully read and understand the instructions provided on the form.
03
Step 3: Begin filling out the form by entering your personal details, such as name, address, and contact information.
04
Step 4: Provide details about your child, including their name, age, grade, and any specific medical or developmental needs they have.
05
Step 5: Indicate the specific type of personal care required for your child, such as assistance with toileting, feeding, medication administration, etc.
06
Step 6: If necessary, attach any additional supporting documents or medical reports that may be required for verification purposes.
07
Step 7: Review the completed form for accuracy and make any necessary corrections.
08
Step 8: Sign the form and date it.
09
Step 9: Submit the filled-out form to the designated school authority or department responsible for handling school-based personal care.
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Step 10: Keep a copy of the submitted form for your records.

Who needs school based personal care?

01
School-based personal care is typically needed by students who have medical or developmental conditions that require assistance with activities of daily living.
02
This may include students with physical disabilities, chronic illnesses, cognitive impairments, or behavioral challenges.
03
The specific criteria for eligibility may vary depending on the educational institution and local regulations.
04
It is typically determined on a case-by-case basis through evaluation and assessment by medical professionals and educational authorities.
05
Parents or guardians of students who require significant personal care at school can inquire with their child's school or educational support services to determine eligibility and obtain the necessary forms.
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School based personal care refers to services provided to students with disabilities in a school setting to assist with personal care needs.
School administrators, special education staff, and parents/guardians of students receiving school based personal care are required to file.
Individuals can fill out school based personal care forms by providing information about the student's disability, personal care needs, and the services being provided.
The purpose of school based personal care is to ensure that students with disabilities have access to needed support services in a school setting.
Information about the student's disability, personal care needs, and the services being provided must be reported on school based personal care forms.
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