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Personal Care Services (PCW)

 

Prior Authorization Requirements

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Personal Care Worker Form & Checklist

ForwardHealth requires persons who are requesting authorization for personal care (PC) service to complete and submit the Personal Care Screening Tool. Please read these instructions prior to completing the below form: PCW Agency instructions.

 

Personal Care Worker Fillable Form        Personal Care Worker Fillable Checklist 

 

PC Screening Tool & Instructions

 

  Personal Care Screening Tool              Personal Care Screening Tool Instructions

 

 

These documents and others can also be found on the Prior Authorizations Documents page.

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