More links and information regarding the EVV process will be added shortly. Please keep checking this page for updates. We appreciate your patience in this matter.
Live-In Caregiver Attestation Form
Please click HERE to find the Live-In Caregiver Attestation form.
- Please make sure that all instructions on the form are followed.
- Lifelong does NOT have the authority to grant exemptions.
- Please send completed form to Lifelong via email, fax or drop it off at the office/secure drop box.
- Once the form is received by MCCMH, they have 10 calendar days to provide a decision to the FMS, caregiver and person served.