Family Care Provider Portal

Welcome to the Family Care Provider Portal. Here you will find news and updates, medication, health and safety alerts, and procedures and forms. If you have questions, please contact your respective program manager.

News and Updates

Commonwealth Coordinated Care Plus to launch August 1, 2017
Commonwealth Coordinated Care Plus (CCC Plus) is a new, statewide Medicaid managed long-term services and support program. It includes Medicaid members who receive Medicare benefits and full Medicaid benefits (dual eligible) and members who receive Medicaid long-term services and supports (LTSS) in a facility through one of the home and community-based (HCBS) waivers, except Alzheimer’s Assisted Living waiver. CCC Plus is proposed to launch on August 1, 2017. Learn more about the program and benefits.

Medication, Health and Safety Alerts

There are currently no alerts.

Forms

Administrative Forms
Family Care Explanation of Expectations and Responsibilities – Family Care Assistant
Family Care Explanation of Expectations and Responsibilities – Family Care Provider
Family Care Provider Face Sheet
Family Care Provider Financial Statement
Family Care Provider Job Description
Family Care Provider Operations Manual
Family Care Provider Rental Understanding
Family Care Reimbursement Schedule
Individual Petty Cash Log
IRS Guidance
Policy Notebook Checklist
Your Rights Poster

Medical Appointment Forms
Annual Dental Exam
Annual Physical Exam
Medical Appointment Form
Medical Master Chart
Medical Support Log
Standing Orders for OTC Medications

Reports
Blood Glucose Monitoring Protocol
Blood Sugar Log
Bowel and Constipation Management
Bowel Log
Controlled Medication Key Exchange Count
Emergency Preparedness Drill Sheet
Incident Report
Pain Log
Seizure Management Guidelines
Seizure Chart
Support Log Guidelines
Support Log

Medical Protocol & Procedure
Assessing and Reporting Medical Concerns
Commonwealth Medical Consent Legislation
Controlled Substance Inventory Count Instructions
Falls Management and Prevention
G-Tube and J-Tube Management
List of Common Controlled Substances
Medication Administration Instructions
Psychotropic Informed Consent
Wound Care/Pressure Management

Important Links

Family Care Provider FAQ’s
Commonwealth Coordinated Care Plus