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 Medicaid In Middlesex
Category:
State:
Multi-State
County:
Middlesex
Control #:
US-00458BG
Format:
Word;
Rich Text
Instant download
Description
Free preview
Form popularity
FAQ
Applications currently take about 30 to 45 days to process.
You can check on the status of your Medicaid application online at the NJ Family Care website, as well as receive electronic notifications. It can take between 45 and 90 days for your application to be processed.
Income & Asset Limits for Eligibility 2025 New Jersey Medicaid Long-Term Care Eligibility for Seniors Type of MedicaidSingleMarried (both spouses applying) Home and Community Based Services $2,901 / month†$5,802 / month†Regular Medicaid / Aged Blind and Disabled $1,304,17 / month‡ $1,762.50 / month‡2 more rows •
You can check on the status of your Medicaid application online at the NJ Family Care website, as well as receive electronic notifications. It can take between 45 and 90 days for your application to be processed.
If you applied for NJ FamilyCare coverage through the website .njfamilycare, or by phone, you can track your application's status by calling 1-800-701-0710.