Get Eatpyr Form

Filling out the Eatpyr Form online is a straightforward process that allows users to request level of care redeterminations efficiently. This guide will walk you through each step, ensuring that you complete the form correctly and submit it in a timely manner.

Follow the steps to complete the Eatpyr Form accurately.

1. Click 'Get Form' button to obtain the form and open it in your preferred editing program.
2. Fill in the requester’s organization name and the date of the request. Ensure that you provide accurate contact information by entering your name and phone number.
3. Indicate how the form will be sent by checking either 'Mailed' or 'Faxed'.
4. Complete the patient’s information including first name, last name, date of birth, county of residence, and the program the client is currently enrolled in. Be thorough to avoid delays.
5. Document the Level of Care (LOC) deadline, which indicates the date by which the LOC redetermination is required.
6. Gather the required attachments: the most recent assessment (701B Form) within the past 90 days, the most recent care plan, and a new Form 3008 if applicable.
7. If there are any delays in your submission, ensure you contact the CARES supervisor to receive approval prior to sending the form and attachments.
8. Upon submitting the form, ensure to record the name of the staff member who received the form and the date it was received in the designated sections.
9. Finally, save your changes, download the completed form for your records, and share it with the necessary parties as required.

Complete your Eatpyr Form online today to ensure that all necessary level of care determinations are processed in a timely manner.