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.
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.
Form Details:
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.