Effective 11/1/2025, iCare will require all initial Personal Care Worker (PCW) referrals in the SSI or BadgerCare+ programs, that request three or more hours per day, include a personal needs assessment prior to submitting the Prior Authorization.
This assessment must be conducted by Holistic Home Health Care or Independence First for selected iCare SSI or BadgerCare+ enrollees residing in Kenosha, Milwaukee, Ozaukee, Racine, Washington and Waukesha Counties.
Holistic Home Health Care
Email: Tessa.Decker@Holistichh.com
Phone Support: 414-231-3130
Independence First
Email: IC_Assessments@IndependenceFirst.org or copy this address: IC_Assessments@Independence First.org
Phone Support: 414-291-7520
ForwardHealth requires persons who are requesting authorization for personal care (PC) service to complete and submit the Personal Care Screening Tool (PCST) form. Please read these instructions prior to completing the PCST form:
PCW Provider Guide PCW Referral Process
Personal Care Worker Fillable Form PCW Provider Fillable Checklist
Personal Care Screening Tool Personal Care Screening Tool Instructions
These documents and others can also be found on the Prior Authorization Main Page or Prior Authorizations Documents page.
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