This form is a sample of an agreement between an elderly or disabled client and a Caregiver who operates as an independent contractor and provides personnel to assist Client to live at home and to have as much control over the home environment and life as possible under the circumstances. Caregiver's personnel also assist Client with the activities of daily living, scheduling medication, assistance with mobility, accompanying Client on errands and appointments, and such other services as agreed between Client and Caregiver.
In this agreement, Client waives damages for simple negligence of Caregiver, but not gross negligence or misconduct that is intentional or criminal in nature. Courts generally will not enforce waivers of this type of misconduct since such a waiver would be deemed to be against public policy because it would encourage dangerous and illegal behavior.
Caregiver Form Application With Medicare In Bronx
Category:
State:
Multi-State
County:
Bronx
Control #:
US-00458BG
Format:
Word;
Rich Text
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FAQ
Managed Long-Term Care Program: Covers case management, nursing, home health aides, home attendant services, physical therapists for people who are Medicaid eligible, or eligible for both Medicaid and Medicare, and are medically eligible for long term care services. More information from the NYS Department of Health.
A doctor or other health care provider must order your care, and a Medicare-certified home health agency must provide it. If your provider decides you need home health care, they should give you a list of agencies that serve your area.
More info
We can help you navigate, but application and enrollment for CDPAP must go through your Local Department of Social Services or Medicaid plan. Start your CDPAP application today at one of your local Bronx Medicaid offices.We are here to help and answer any questions, call us at . Home Care programs are Medicaid-funded long-term-care programs designed to help eligible elderly or disabled individuals remain safely at home. Certain applicants may apply through NY State of Health while others may need to apply through their Local Department of Social Service (LDSS). You are likely eligible if you have Medicaid. To get started fast with care, fill out the form below. Part A covers inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care. The Consumer Directed Personal Assistance Program in the Bronx is a Medicaid initiative that allows individuals to choose and hire caregivers. BronxWorks offers outreach, workshops, and one-on-one counseling to educate people about health insurance matters.