Caregiver Application Form With Social Security Number In Michigan

State:
Multi-State
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

To apply for the Medicaid Home Help Program, persons must be eligible for MI Medicaid. To apply, one should contact their county Michigan Department of Health & Human Services office. See contact information. As part of the application process for home services, a functional needs assessment will be completed.

In Michigan, you don't need certification for non-medical caregiver roles. However, proper training and certification can boost your credibility and job prospects. Caregiver training in Michigan includes at least 75 hours of instruction, covering key skills like personal care, infection control, and basic first aid.

Although it seems that Medicaid covers practically everything someone needs, it doesn't necessarily provide full coverage. Medicaid does not cover private nursing, for example, nor does it cover services provided by a household member. Also, things like bandages, adult diapers, and other disposables aren't covered.

To become a Home Health Aide in Michigan, complete a state-approved training program, pass a competency evaluation, and be listed on the Michigan Nurse Aide Registry. State-approved training programs for Home Health Aides typically range from 75 to 150 hours.

Phone: 24-Hour Helpline: (800) 272-3900. Michigan Chapter Headquarters: (248) 351-0280.

Should you have any questions or concerns regarding your account you may contact the department via e-mail: BCHS-CNA-Registry@Michigan or by phone (517) 284-8961.

How can I apply for caregiver benefits in Michigan? To apply to be a caregiver for a family member, simply reach out to Family Love Care. Family Love Care will then use their expertise to help you through the application process with Michigan Medicaid.

MDHHS is offering $3,000 for respite and caregiver relief services to eligible Home Help clients and their live-in caregiver who need assistance with activities of daily living (ADLs) and require continual supervision to live in their own home.

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Caregiver Application Form With Social Security Number In Michigan