Chapter 517, Personal Care Services Policy Manual
Personal Care Policy Clarifications and Updates
- PC-FAQs
- CCS-July 2025
- ADW/PC/TBIW FAQs August 2024
- IMS Memo June 30, 2023
- PC-CCR Letter January 2019
- IDDW-PC Clarification of Dual Services-Respite August 2018
- Providing PC Services for Dual Waiver Members with No Waiver Worker August 2018
- CPS Reporting Memo
- BMS Guidance on Legal Guardians/Medical Power of Attorneys May 2018
- Guardianship Q&A Follow-Up July 2018
- First Aid Training Qualifications Change
PC information and Forms
- RN Initial Contact Form Memo January 2018
- RN Member Contact Form
- RN Member Contact Instructions
- Definitions of Personal Care Terms
- Discontinuation of Services Form
- Discontinuation of Services Instructions
- Sample IDDW-PC Dual Schedule
- Employment Status Agreement Form
- Employment Status Agreement Instructions
- Employment Support Record Sheet
- Employment Support Record Sheet Instructions
- Incident Management Report Form
- Incident Management Report Instructions
- Job Seeking Agreement Form
- Job Seeking Agreement Instructions
- PC-Medical Necessity Evaluation Request (MNER) Form
- Medical Necessity Evaluation Request (MNER) Form Instructions
- Member Assessment Form
- Member Assessment Instructions
- Member Grievance Form
- Member Grievance Instructions
- Member Request to Transfer Form
- Member Request to Transfer Instructions
- Member User Guide
- Personal Care Additional Documentation
- Personal Care Responsibility Agreement
- Personal Care Standards of Care
- Physician's Certification
- Plan of Care
- Plan of Care Instructions
- Pre Admission Screening
- Pre Admission Screening Instructions
- Procedural Guidelines for Unsafe and Noncompliance
- Request for Service Level Change
- Request for Service Level Change Instructions
