Traditional FFS Referral Form (Participant-Directed Caregiver)

Please use this referral form if your client receives traditional fee-for-service (FFS) Medicaid services authorized through a Service Agreement Letter and has chosen a family member, friend, or other trusted individual to become their paid caregiver through Armatage Home Care.

Complete the information below so our team can review the referral, coordinate with the client's case manager, begin the caregiver hiring process, and ensure services can start as smoothly as possible.