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The document outlines the Personal Care Attendant (PCA) program in Connecticut, which provides assistance for adults aged 18 to 64 with chronic disabilities, enabling them to remain at home. It details the eligibility criteria, including functional and financial assessments required for Medicaid qualification. The document also includes a referral request form that applicants must complete, providing personal and financial information, as well as their need for assistance with daily living activities.

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Versions	Form popularity	Fillable & printable
2016	4.4 Satisfied (43 Votes)
2014	4.4 Satisfied (49 Votes)

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