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Utah Medicaid Provider Manual Division of Medicaid and Health Financing Request for Prior Authorization: Personal Care and Capitate Programs Updated January 2012 UTAH DEPARTMENT OF HEALTH MEDICAL
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How to fill out personal care division:

01
Start by gathering all the necessary information such as the name of the individual for whom the personal care division is being filled out, their personal information like age, address, contact details, etc.
02
Identify the specific areas or activities in which the individual may need assistance with personal care, such as bathing, dressing, grooming, toileting, and medication management.
03
Fill out the personal care division form by carefully entering all the required details related to the individual's personal care needs. This may include indicating the frequency and level of assistance required for each specific activity.
04
Provide any additional relevant information in the form, such as any medical conditions or allergies that the individual may have, and any specific preferences they may have regarding their personal care.
05
Ensure that the form is completed accurately and legibly, and review it thoroughly before submission to avoid any errors or missing information.
06
Submit the filled out personal care division form to the designated authority or organization responsible for collecting and maintaining such records.

Who needs personal care division:

01
Individuals who are elderly and may require assistance with daily activities of personal care due to age-related limitations or health conditions.
02
Individuals with physical disabilities or impairments that affect their ability to independently perform personal care tasks.
03
Individuals with certain medical conditions or chronic illnesses that necessitate support and assistance with personal care activities.
04
Individuals with cognitive impairments or mental health conditions that affect their ability to manage personal care tasks on their own.
05
Individuals who are temporarily or permanently recovering from surgeries or medical procedures that limit their ability to independently perform personal care activities.
06
Individuals who may be bedridden or immobilized due to illness or injury and require assistance with personal care tasks.
07
Individuals who reside in long-term care facilities or assisted living facilities, where there is a need for accurate documentation of personal care needs and assistance provided.
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Relevant keywords

2012 Utah NPI Capitated ELIGIBLITY X-ray CPT ELIGIBILITY applicable Prescribing REVIEWER Medicaid Supplying Imaging Updated TERMINATION DOCUMENTATION Provider prescriptions SUMMARY Financing criteria

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