Effective 7/15/2026, iCare will require Electronic Visit Verification (EVV) for all live-in caregivers for service code T1019 (Personal Care Services) in the SSI, BadgerCare, and FCP programs.
and
Effective 7/15/2026, iCare will require all initial and renewal Personal Care Worker (PCW) service requests statewide in the iCare SSI or BadgerCare programs that request three or more hours per day to include a personal needs assessment prior to submitting the Prior Authorization.
PCW Personal Needs Assessment Frequently Asked Questions (FAQs)
For selected iCare SSI or BadgerCare+ enrollees residing WITHIN Kenosha, Milwaukee, Ozaukee, Racine, Washington and Waukesha counties, this personal needs assessment must be conducted by Holistic Home Health Care or Independence First.
Holistic Home Health Care
Email: Tessa.Decker@Holistichh.com
Phone Support: 414-231-3130
Holistic Home Health Care Referral Form for Personal Needs Assessment
Independence First
Email: IC_Assessments@IndependenceFirst.org
or copy this address: IC_Assessments@IndependenceFirst.org
Phone Support: 414-291-7520
Independence First Referral form for Personal Needs Assessment
For selected iCare SSI or BadgerCare+ enrollees residing OUTSIDE OF Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties, this personal needs assessment must be conducted by iCare PCW PNA screeners.
iCare PCW PNA Screeners
Email: iCarePCWPNA@iCareHealthPlan.org
Phone Support: Local - 1-414-231-3130 or Toll free - 1-855-839-1032
ForwardHealth requires persons who are requesting authorization for Personal Care (PC) service to complete and submit the Personal Care Screening Tool (PCST) form. Please read these instructions prior to completing the PCST form:
PCW Claims Guide PCW Request Process
PCW PA Fillable Request Form PCW Provider Fillable Checklist
PCST Fillable Form PCST Instructions
These documents and others can also be found on the Prior Authorizations Documents page.
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