Caregiver Form Application With Medicaid In King

State:
Multi-State
County:
King
Control #:
US-00458BG
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.



In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
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  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent
  • Preview Personal Care Service Agreement - Caregiver for Elderly or Disabled - Consent

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FAQ

CDPAP (Consumer Directed Personal Assistance Program) is a Medicaid-funded program that allows care recipients to hire almost any caregiver they choose, including the family member who is currently providing the care. A sister program is CDPAS – Consumer Directed Personal Assistance Services.

Contact Us Locked out of your account? Need to make changes to your health insurance? ... Apple Health is the name for Medicaid in Washington. Phone: 1-855-923-4633. Monday–Friday: a.m.– p.m. You have a right to information in your language.

If you need specific claim information or a copy of a claim, you can save time by calling: Automated Claim Information Line: 1-800-831-5227. Provider Hotline: 1-800-848-0811.

Recently the Washington State Legislature passed a bill that allows individuals to now keep up to $2,523 to cover their household costs. This policy change will allow more individuals to remain in their setting of choice for long-term care - their home!

Receive approval for Medicaid. In some cases, it could take the state up to 45 days. Once you are approved for Medicaid, you'll receive a welcome packet from the state.

Income & Asset Limits for Eligibility 2025 Washington Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Income Limit Asset Limit Institutional / Nursing Home Medicaid $2,901 / month $3,000 Medicaid Waivers / Home and Community Based Services $2,901 / month† $3,0001 more row •

In Washington State, Medicaid is called Apple Health.

The COPES program pays for long-term care in your home or in a community setting, like assisted living or an adult family home. COPES care can include help from a trained caregiver to shower, dress, eat, use the toilet, walk, change position in bed, and manage your medications.

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Caregiver Form Application With Medicaid In King