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Click ‘Get Form’ to open the PCA Waiver Form CT in our editor.
Begin by filling out your personal data. Enter your name, address, date of birth, and contact information. If someone else is assisting you, include their details as well.
In the Medicaid/Medicare Information section, indicate your current status regarding Medicaid and Medicare. Provide your Medicaid and Medicare numbers if applicable.
Complete the services section if you currently receive any assistance. Check 'Yes' or 'No' for each service and specify the hours per week for those you receive.
In the Assistance Needs section, check all types of physical assistance you require.
Fill out your financial data by providing your total monthly income and assets. Ensure accuracy as this information is crucial for processing.
Finally, sign the form where indicated. If someone else completed it on your behalf, ensure they also sign in the appropriate sections.

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How do I become a PCA for a family member in CT?

The process starts by either calling or applying online. Callers should be prepared with information about what kind of help the applicant needs, health conditions and financial information. A nurse or social worker will take the information and determine if the applicant appears to be eligible.

How do I qualify for PCA services?

Personal Care Assistant (PCA) Waiver: Adults aged 18 to 64 with disabilities in need of assistance performing Activities of Daily Living can apply for the Personal Care Assistant Waiver to receive long-term care from a trained, personal care assistant while at home.

Who is eligible for the Medicaid waiver program in CT?

Adults must be age 18-64 to apply, must have docHub need for hands on assistance with at least two activities of daily living (eating, bathing, dressing, transferring, toileting), must lack family and community supports to meet the need, and must meet all technical, procedural and financial requirements of the

Can a family member be paid as a caregiver in CT?

Become a paid caregiver through a state Medicaid program If someone with a disability already receives Medicaid, their state may allow a family member or friend to become a paid caregiver. Many states call this a consumer-directed personal assistance program. Each state has different requirements and rules.

What is the PCA waiver program in CT?

Administered by the Connecticut Department of Social Services (DSS), PCA Waiver enables people with disabilities to employ personal care attendants to help with daily activities such as bathing, dressing, transfer, and toileting, as well as home chores, shopping, laundry, and other activities that are essential for