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Nevada Medicaid and Check Upriver Staff / Case Managers Authorization Request for Personal Care Services (PCS) (This form is to be used by Waiver Staff / Case Managers only. Completed forms must be
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How to fill out waiver staff case managers

01
Obtain the waiver staff case manager form from the appropriate department or agency.
02
Fill out all required information such as name, contact information, and case details.
03
Ensure to provide any relevant documentation or supporting evidence needed for the case.
04
Review the form for accuracy and completeness before submitting it to the designated department or agency.
05
Follow up with the department or agency regarding the status of the waiver staff case manager request.

Who needs waiver staff case managers?

01
Individuals who require assistance navigating the waiver process for services and supports.
02
Patients with complex medical needs who may benefit from additional care coordination provided by a case manager.
03
Families or caregivers of individuals with disabilities who need help accessing available resources and support services.
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Waiver staff case managers are individuals responsible for overseeing the care and services provided to individuals receiving waiver services.
Providers of waiver services are required to file waiver staff case managers.
Waiver staff case managers can be filled out by providing detailed information about the care and services being provided, as well as documenting any changes or updates to the individual's care plan.
The purpose of waiver staff case managers is to ensure that individuals receiving waiver services are receiving the care and support they need to thrive and live independently.
Information that must be reported on waiver staff case managers includes details about the individual's care plan, any changes to the plan, and documentation of the services provided.
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