Before filling out packets and forms, it is important to know your role. Click here or scroll to the bottom of the page to review the different roles to help you determine which forms you need to fill out.
Molina Healthcare Forms
Direct Service Worker Enrollment
Additional Forms and Information
Fingerprinting Procedures and Information
WHAT’S MY ROLE?
Before filling out packets and forms, it is important to know your role. Below are definitions to help you determine which forms you need to fill out.
Direct Service Worker (DSW) – The person hired to provide care or supports. This person is sometimes called a caregiver. If you are a Direct Service Worker you will fill out the Direct Service Worker packets and/or forms.
Participant – The person receiving services and supports. If you are the Participant, you will fill out the Participant packets and/or forms.
Representative – The person who performs the function of the employer on behalf of a Participant enrolled in the Participant Direct Option. If you are a Representative, you will fill out some forms in the Participant packet.