Traditional FFS Referral Form

Please use this referral form if your client receives traditional fee-for-service (FFS) Medicaid services, Armatage Home Care will be authorized through a Service Agreement Letter, and Armatage will be providing the client's caregiver(s).

Complete the information below so our team can review the referral, confirm service needs, coordinate with the client's case manager, and begin the onboarding process.