Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
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<strong>Assistive</strong> <strong>Care</strong> <strong>Services</strong> <strong>and</strong> <strong>Assisted</strong> <strong>Living</strong> <strong>for</strong> <strong>the</strong> <strong>Elderly</strong> <strong>Waiver</strong> <strong>Services</strong><br />
Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />
PART I<br />
APPENDIX C<br />
ASSISTIVE CARE SERVICES<br />
The following page contains <strong>the</strong> Certification Of Medical Necessity For Medicaid <strong>Assistive</strong> <strong>Care</strong><br />
<strong>Services</strong>, an optional <strong>for</strong>m. The <strong>for</strong>m may be copied <strong>and</strong> used by providers to document medical<br />
necessity.<br />
July 2001 C-1