Get Ucare Pca Assessment

Completing the Ucare PCA Assessment online is a crucial step in ensuring necessary support services for individuals in need. This guide aims to provide clear and step-by-step instructions for accurately filling out the assessment form, ensuring a seamless submission process.

Follow the steps to accurately complete the Ucare PCA Assessment.

1. Press the ‘Get Form’ button to access the Ucare PCA Assessment form and open it for editing.
2. Fill in today's date and your contact phone number at the top of the form. These details are essential for communication purposes.
3. In the 'Request Sent By' section, provide your first name and last name, along with your address, city, diagnosis, and gender. This information identifies you as the requester and the individual receiving care.
4. Enter the current member's information, including their Ucare ID number, PMI, phone number, zip code, ICD-10 codes, date of birth, and gender. This section is crucial for associating the assessment with the correct individual.
5. Indicate whether the member requires a responsible party for the assessment. If 'Yes,' ensure that the DHS-5856 form is completed and on file. Provide details for the responsible party, including their name and phone number.
6. In the 'Assessment Scheduling and Contact Information' section, fill out the appointment contact details, relation to the member, best times to reach them, and if an interpreter is needed, specify the language.
7. Complete the current authorization information by selecting the type of assessment (initial, annual, or early due to a change in condition), along with the current UCare authorization number and relevant dates.
8. Provide the current PCA hours, the name and phone number of the PCA agency, PCA caregiver details, and any comments or additional information relevant to the assessment.
9. Fill in the physician's information, including the last exam date, phone number, and fax number. This ensures the assessment is coordinated with the member's healthcare provider.
10. Review the form thoroughly to ensure all sections are complete and legible. Incomplete submissions may be returned.
11. Once completed, save your changes, download, print, or share the form as necessary. Submit the form via fax or mail to the UCare clinical services address provided.

Begin the process of completing the Ucare PCA Assessment online today for timely and effective care.