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Forms
Total
EasyCare Plus
EasyCare
Authorization for Release of Health Information Form (DOH 5032)
Total
CDPAS Recertification – Physician Order Form
Total Members can have their home care service provided by a consumer directed personal care assistant through Consumer Directed Personal Assistance Services (CDPAS). The physician order form is required during the initial assessment and every 6 months during CDPAS recertification.
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Your Rights and Responsibilities
EasyCare
EasyCare Plus
Total
Making Decisions About Your Health Care
EasyCare Plus
Member Rights and Responsibilities upon Disenrollment
Total
EasyCare Plus
EasyCare
Patient Self-Determination Policies