Form F-11133 Personal Care Screening Tool (Pcst) - Wisconsin

Form F-11133 Personal Care Screening Tool (Pcst) - Wisconsin

What Is Form F-11133?

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

FAQ

Q: What is Form F-11133?
A: Form F-11133 is the Personal CareScreening Tool (PCST) used in Wisconsin.

Q: What is the purpose of the PCST?
A: The purpose of the PCST is to assess an individual's need for personal care services.

Q: Who uses the PCST in Wisconsin?
A: The PCST is used by the Wisconsin Department of Health Services and Aging and Disability Resource Centers.

Q: What information is collected on the PCST?
A: The PCST collects information about an individual's functional abilities and limitations.

Q: How is the PCST administered?
A: The PCST can be administered through an interview or self-administered by the individual or a representative.

Q: What happens after the PCST is completed?
A: After completion of the PCST, the results are used to determine eligibility for personal care services in Wisconsin.

Q: Can a person appeal the results of the PCST?
A: Yes, a person has the right to appeal the results of the PCST if they disagree with the eligibility determination.

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Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Wisconsin Department of Health 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 fillable version of Form F-11133 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-11133 Personal Care Screening Tool (Pcst) - Wisconsin

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