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Personal Care Services
Effective July 1, 2008, districts may be reimbursed by Medicaid for personal care services. Note that if a
paraprofessional is federally funded, they cannot record personal
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How to fill out personal care services

How to fill out personal care services
01
Gather all necessary information and forms such as client personal information, medical history, and caregiver contact information.
02
Evaluate the client's needs and goals to determine the type and extent of personal care services required.
03
Complete all sections of the personal care services form accurately and thoroughly.
04
Ensure that all required documentation, such as physician orders or prescriptions, are included and properly filled out.
05
Submit the completed personal care services form to the appropriate agency or organization according to their procedures.
06
Follow up with the agency or organization to confirm receipt and to address any additional requirements or questions.
07
Keep a copy of the completed personal care services form for your records.
08
Review and update the personal care services plan as needed, based on the client's changing needs and goals.
Who needs personal care services?
01
Individuals with disabilities who require assistance with activities of daily living (ADLs) such as bathing, dressing, and grooming.
02
Elderly individuals who may have difficulty with mobility or self-care tasks.
03
Individuals recovering from illness or surgery who need temporary assistance with personal care activities.
04
People with chronic conditions or diseases that affect their ability to perform personal care tasks independently.
05
Individuals with cognitive impairments or mental health issues who need support and supervision in personal care activities.
06
Family members or caregivers who are unable to provide adequate personal care services on their own.
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