Client/patient forms:

1. Form needed to check Medicaid/insurance eligibility
2. Form needed to verify the need for home care services (To be completed by client's Doctor)
3. Form needed to give Humanistic Care permission to bill client's insurance for home care services

Caregiver forms:

1. Federal W-4 form
2. State of Michigan W-4 form
3. Community Health Automated Medicaid Processing System (CHAMPS) form (complete all highlighted sections)