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.
Caregiver Form Application With Va In Michigan
Instant download
Description
Free preview
Form popularity
FAQ
Use VA Form 10-10CG to apply for the Program of Comprehensive Assistance for Family Caregivers. Each time a new caregiver is appointed, a new VA Form 10-10CG is required.
Application Process: Once you pass the exam, submit your application to the Michigan Department of Health and Human Services (MDHHS), include the required documents and fees, and wait for approval. If everything checks out, you'll receive your caregiver certification.
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.
Financial Support: The grant provides financial assistance via a voucher worth up to $575 for caregivers of older adults to caregivers experiencing emotional and financial stress.
Need Help? To assist you with enrolling in these programs, contact your local VA facility CSP Team/Caregiver Support Team, or call the VA Caregiver Support Line(CSL) at 1-855-260-3274. Subscribe to receive email updates and information about VA Caregiver Support Program services.
To apply for VA health benefits, a 10-10EZ form must be submitted online, by phone, in person or by mail. A DD-214 is required. By phone - Call 877-222-VETS (877-222-8387) to complete the application. A VA Form 10-10EZ will be mailed for review, signature and return.
Medical benefits package includes: Preventative Care. Primary Care. Specialty Care. Mental Health. Home Health Care. Dental Care. Vision Care. Geriatrics and Extended Care.
The best way to file for disability compensation is to apply online at .va/disability. Or, you can fax it to: (844) 531-7818 (inside the U.S.) (248) 524-4260 (outside the U.S.)
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.