Personal Care - Resources/Links
Personal care services are designed to assist children with physical dependency needs related to the following activities of daily living: eating, bathing, dressing, personal hygiene, bladder and bowel requirements, or taking medications. The following are links to information and required forms to help school districts in order to bill Medicaide for providing the best, informed personal care to students in their district. For questions, please This email address is being protected from spambots. You need JavaScript enabled to view it..
NOTICE:
- School Districts providing/billing Personal Care services may have recieved correspondence regarding the mandate for personal care providers to register for Electronic Visit Verification (EVV). As per AFMC, AFMC has recieved notification form the state that school districts are exempt from EVV. No action is required by the school districts on this mandate.
Resources/Links
Task and Hour Tool - Calculating PC Times/Units - NEW
Checklist for Billing PC in Schools
Step-By-Step User Guide for Submitting PC PAs into eQSuite®
eQHealth - Information for Submitting Personal Care Services Under 21
eQSuite® - Information for System to Submit PAs/DMS-618 Forms
eQHealth Fax Cover sheet for PASSE student PA requests
DMS-652 Form- Medicaid Provider Application Form
DMS-2609 Primary Care Physician Selection and Change Form
Electronic Funds Transfer Authorization Form
AFMC/MMIS Outreach Specialists Contact Information
AFMC MMIS - Services - Resources
Getting registered in Medicaid MMIS Portal
eQHealth Customer Suppport - 1-888-660-3831
Optum Assessment Call Center - 1-844-809-9538
ADE - DESE Links
School-Based Medicaid Application Process
Parent fact Sheet for Medicaid in the Schools
Parent Fact Sheet for Medicaid in the Schools-Spanish Version
Consent to Release Personal Identifiable Information Form
Consent to Release Personal Identifiable Information Form - Spanish Version
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