Dhs home care provider
[DOC File]DMS-618 Personal Care Assessment and Service Plan
https://info.5y1.org/dhs-home-care-provider_1_15d887.html
I hereby select the agency named in Section I of this document as my personal care provider. To help assure a complete and accurate assessment of my physical dependency needs and an individualized service plan to address those needs, I hereby authorize the release of any medical information by or to the attending physician and/or the PCP named ...
[DOC File]DHS-1295, Young Adult Monthly Visit Report
https://info.5y1.org/dhs-home-care-provider_1_0e596f.html
Youth’s Name Visit Location Visit Date Participants List any changes in the home/address, including who resides in home. Assessment of home (sanitary concerns, safety or privacy issues, etc.). ... Youth’s Signature Date Foster Care Provider Signature ... DHS-1295 (Rev. 12-18) 2. Title: DHS-1295, Young Adult Monthly Visit Report
[DOC File]Foster Home Medicaid Provider Enrollment Agreement
https://info.5y1.org/dhs-home-care-provider_1_3452d7.html
% Agreement This Provider Enrollment Agreement, hereinafter referred to as the Agreement, sets forth the conditions for being enrolled as a Foster Home Provider with the State of Oregon Department of Human Services (DHS) and for receiving Medicaid payment for services provided within a foster home.
DHS 7176 Residency agreement template
Type of home and community-based service provided by the landlord/provider (Place an X in the blank space if applicable) ____ Foster care in a licensed program, including family or corporate child foster care residence, a family or corporate adult foster care residence or a community residential setting facility
[DOCX File]COVID-19 Preparedness Plan Optional Template for Licensed ...
https://info.5y1.org/dhs-home-care-provider_1_b42f58.html
In order to help you comply, DHS is providing this “Child Care COVID-19 Preparedness Plan” (“Plan”) as a resource for you to use in creating a plan, if you do not already have one. This template should be used with the checklist guidelines for creating a child care COVID-19 Preparedness Plan. The use of this particular form is optional.
[DOT File]DHS-5331 Guidelines for Reasonable and Prudent Parent …
https://info.5y1.org/dhs-home-care-provider_1_21ff0a.html
A: : No, if the child is spending the night away from the foster home for the purpose of a child’s social activity and not due to the caregiver’s needs, it is not considered a substitute caregiver. If a child is at a friend’s home, the caregiver is still expected to be available in case the child needs to be picked up.
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