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 Phoenix
Category:
State:
Multi-State
City:
Phoenix
Control #:
US-00458BG
Format:
Word;
Rich Text
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Description: The Caregiver training course is approved by the Arizona Board of Nursing Care Institution Administrators and Assisted Living Managers (NCIA) and is 62 training hours in length. If successfully completed, the student may take the State Certification exam to become a Certified Caregiver.
As a national accrediting and certifying organization, the American Caregiver Association is an excellent choice when selecting a training program. Its National Caregiver Certification Course is the most popular of its offerings and covers behavior management, personal care, and other core topics.
Description: The Caregiver training course is approved by the Arizona Board of Nursing Care Institution Administrators and Assisted Living Managers (NCIA) and is 62 training hours in length. If successfully completed, the student may take the State Certification exam to become a Certified Caregiver.
In Arizona, our caregivers are certified with a “Direct Care Worker” certification overseen by the state AHCCCS program. In Colorado, our caregivers meet the state requirements for experience and must pass a hands-on care assessment before coming onto the team.
At the latest, 45 calendar days from the application date.
At the latest, 45 calendar days from the application date.
Income Limits Household SizeGross Monthly Income Limit Effective 02/01/2025 1 $1,735 2 $2,345 3 $2,954 4 $3,5642 more rows