Get the free personal care services program pre-admission screening (pas) form - dhhr wv

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PERSONAL CARE SERVICES PROGRAM. PRE-ADMISSION SCREENING (PAS) FORM. Form Effective 1-1-18. Page 1 of 4. NOTE: PC Agency use of PC ...

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How to fill out personal care services program

01

Step 1: Obtain the application form for the personal care services program.

02

Step 2: Fill out the application form with your personal information, including your name, address, contact number, and social security number.

03

Step 3: Provide details about your medical condition and the specific personal care services you require.

04

Step 4: Attach any supporting documents, such as medical reports or prescriptions, that provide evidence of your need for personal care services.

05

Step 5: Submit the completed application form and supporting documents to the designated office or agency responsible for processing personal care services program applications.

06

Step 6: Wait for the application to be reviewed and processed. You may be contacted for additional information or to schedule an assessment of your needs.

07

Step 7: Once your application is approved, you will be notified of the services you are eligible to receive and how to access them.

08

Step 8: Follow the instructions provided to access and receive the personal care services identified in your approved application.

Who needs personal care services program?

01

Individuals who require assistance with activities of daily living (ADLs) or instrumental activities of daily living (IADLs) due to physical or mental health conditions may benefit from the personal care services program.

02

This program is often targeted towards elderly individuals, individuals with disabilities, or individuals recovering from a medical procedure or illness.

03

Family members or caregivers of individuals who are unable to adequately perform ADLs or IADLs may also seek the assistance of the personal care services program to ensure their loved ones receive the necessary support and care.

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What is personal care services program?

The personal care services program provides assistance with daily activities such as bathing, dressing, and meal preparation for individuals who need support in their own homes.

Who is required to file personal care services program?

Providers of personal care services are required to file the program.

How to fill out personal care services program?

The program can be filled out online through the designated portal with all required information.

What is the purpose of personal care services program?

The purpose of the program is to ensure that individuals receive necessary care and support in their own homes.

What information must be reported on personal care services program?

Providers need to report the services provided, hours worked, and any changes in the individual's condition.

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