Form W-982 Personal Care Attendant (Pca) Request for Referral - Connecticut

Form W-982 Personal Care Attendant (Pca) Request for Referral - Connecticut

What Is Form W-982?

This is a legal form that was released by the Connecticut State Department of Social Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form W-9?
A: Form W-9 is a tax form used by individuals or businesses to provide their taxpayer identification number (TIN) to payers or brokers who are required to file information returns with the IRS.

Q: What is a Personal Care Attendant (PCA)?
A: A Personal Care Attendant (PCA) is a caregiver who provides assistance with activities of daily living, such as bathing, dressing, and meal preparation, to individuals who have disabilities or chronic conditions.

Q: What is the purpose of Form W-982?
A: Form W-982 is used in Connecticut to request a referral for a Personal Care Attendant (PCA) through a Medicaid program.

Q: Who can request a referral using Form W-982?
A: Individuals who are eligible for a Medicaid program in Connecticut and need the services of a Personal Care Attendant (PCA) can request a referral using Form W-982.

Q: How do I request a referral using Form W-982?
A: To request a referral using Form W-982, you need to complete the form with your personal information, including your name, address, and social security number, and submit it to the appropriate Medicaid office in Connecticut.

Q: Is there a deadline for submitting Form W-982?
A: There may be a deadline for submitting Form W-982, depending on the specific Medicaid program in Connecticut. It is best to contact the Medicaid office for more information on any deadlines.

Q: What happens after I submit Form W-982?
A: After you submit Form W-982, the Medicaid office will review your request and determine if you are eligible for a referral for a Personal Care Attendant (PCA) through the Medicaid program.

Q: Can I appeal if my request is denied?
A: Yes, if your request for a referral for a Personal Care Attendant (PCA) is denied, you have the right to appeal the decision. You can contact the Medicaid office for information on the appeals process.

Q: Are there any fees associated with requesting a referral using Form W-982?
A: There may be fees associated with requesting a referral using Form W-982, such as application fees or fees for additional services. It is recommended to check with the Medicaid office for information on any applicable fees.

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Form Details:

  • Released on July 1, 2016;
  • The latest edition provided by the Connecticut State Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form W-982 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Social Services.

Download Form W-982 Personal Care Attendant (Pca) Request for Referral - Connecticut

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