Minnesota Dhs Form PDF Details

Are you filing for medical assistance or MinnesotaCare in the state of Minnesota? You must fill out the DHS Form to apply for assistance. The application process can be overwhelming and complicated, so if you are unfamiliar with how to poreceed it is important that you obtain proper guidance from a qualified professional. This blog post will provide information about what the DHS Form is, why it’s necessary, where to find it and your next steps in order to successfully complete the application process.

QuestionAnswer
Form NameMinnesota Dhs Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names245d policies and procedures, dhs 245d forms, 245d licensing, 245d licensing checklist

Form Preview Example

Minnesota Department of Human Services

Licensing Division

Sample Policies and Forms for Intensive Supports and Services

245D licensed providers may link to the sample policies and forms below and modify them for use in their programs. Providers are responsible for ensuring any policy and forms they use meet the 245D licensing requirements, including the samples provided. Read the applicable statute sections or rule parts to ensure you understand the requirements.

 

 

 

 

 

 

Required policies and procedures

 

Applicable MN statute or rule

Date of last

 

 

 

 

revision

 

 

 

 

 

 

 

 

 

 

Required Policies and Procedures

 

 

 

 

 

 

These policies are required at time of application for providers who do not hold a 245B license.

 

 

 

 

 

 

 

Drug and Alcohol Prohibition Policy

 

245A.04, subd. 1(c)

10/31/2013

 

 

 

 

 

 

Emergency Use Of Manual Restraint (EUMR) Policy

 

245D.06, subd. 1(a); 245D.06,

10/31/2013

 

 

 

subd. 5; & 245D.061, subd. 9

 

 

 

 

 

 

 

Grievance Policy

 

245D.10, subd. 2

10/31/2013

 

 

 

 

 

 

Maltreatment Of Minors Reporting and Internal Review Policy

 

245A.66 and 626.556

10/31/2013

 

 

 

 

 

 

Service Suspension And Termination Policy

 

245D.10, subd. 3

10/31/2013

 

 

 

 

 

 

Vulnerable Adults Maltreatment Reporting and Internal Review Policy

 

245A.65, subd. 1(a) and (b) &

10/31/2013

 

 

 

626.557, subd. 4a

 

 

 

 

 

 

Required Policies and Procedures

 

 

 

 

 

 

 

 

All policies must be developed by January 1, 2014.

 

 

 

 

 

 

 

Admission Criteria Policy

 

245D.11, subd. 4

10/31/2013

 

 

 

 

 

 

Data Privacy Policy

 

245D.11, subd. 3

10/31/2013

 

 

 

 

 

 

Emergency Response, Reporting and Review Policy

 

245D.11, subd. 2; 245D.02, subd.

10/31/2013

 

 

 

8; 245D.22, subd 4-7

 

 

 

 

 

 

 

Health Service Coordination and Care (Residential Programs) Policy

 

245D.11, subd. 2(2)

10/31/2013

 

 

 

 

 

 

Incident Response, Reporting and Review Policy

 

245D.11, subd. 2(7); 245D.02,

10/31/2013

 

 

 

subd. 11; 245.91, subd. 6;

 

 

 

 

609.341, subd. 3 and 14

 

 

 

 

 

 

 

Safe Medication Assistance and Administration Policy

 

245D.11, subd. 2(3)

10/31/2013

 

 

 

 

 

 

Safe Transportation Policy

 

245D.11, subd. 2(4)

10/31/2013

 

 

 

 

 

 

Universal Precautions and Sanitary Practices Policy

 

245D.11, subd. 2(1)

10/31/2013

 

 

 

 

 

Required Policies And Procedures for Community Residential Settings and Day Services Facilities

 

 

 

 

 

 

 

 

All policies must be developed by January 1, 2014. Samples will be available in July and August 2014.

 

 

 

 

 

 

 

Program Abuse Prevention Plan (PAPP)

 

245A.65, subd. 2 (a) & 245A.65,

10/31/2013

 

 

 

subd. 2 (a)

 

 

 

 

 

 

Documentation Requirements – Optional Program Forms

 

 

 

 

 

 

 

 

 

45 Day Meeting Summary

 

 

10/31/2013

 

 

 

 

 

 

Admission and Discharge Register form

 

 

10/31/2013

 

 

 

 

 

1

Revised 10/31/2013

Minnesota Department of Human Services

Licensing Division

Assessment Results for Intensive Support Services

 

10/31/2013

 

 

 

Emergency Report and Internal Review Form

 

10/31/2013

 

 

 

Fire Drill Log

 

10/31/2013

 

 

 

Funds and Property Authorization

 

10/31/2013

 

 

 

Health Needs Change Notice

 

10/31/2013

 

 

 

Health Needs Record

 

10/31/2013

 

 

 

Incident Report and Internal Review

 

10/31/2013

 

 

 

Individual Abuse Prevention Plan (IAPP) Form

245A.65, subd.2(b) & 626.6557,

10/31/2013

 

subd. 14

 

 

 

 

HCBS Incident Reporting Requirements - Who to Notify Form

 

10/31/2013

 

 

 

HCBS Service Recipient Rights Packet

 

10/31/2013

 

 

 

HCBS Service Recipient Rights Restrictions

 

10/31/2013

 

 

 

Intensive Support Services Assessment

 

10/31/2013

 

 

 

Medication Administration and Emergency Medical Authorization

 

10/31/2013

 

 

 

Medication Administration Review Record

 

10/31/2013

 

 

 

Medication and Treatment Administration Packet

 

10/31/2013

 

 

 

Medication Setup Record

 

10/31/2013

 

 

 

Person-Centered Planning and Service Delivery Requirements

 

10/31/2013

 

 

 

Progress Review Report for Intensive Support Services

 

10/31/2013

 

 

 

Psychotropic Medication Use and Monitoring Record

 

10/31/2013

 

 

 

Quality Management Evaluation and Program Improvement Plan

 

10/31/2013

 

 

 

Release of Information Authorization

 

10/31/2013

 

 

 

Satisfaction Evaluation

 

10/31/2013

 

 

 

Service Admission Checklist for Intensive Services

 

10/31/2013

 

 

 

Service Recipient Information Cover Sheet

 

10/31/2013

 

 

 

Service Recipient Record Checklist

 

10/31/2013

 

 

 

Service Suspension or Termination for Intensive Support Services Checklist

 

10/31/2013

 

 

 

Staff Orientation and Training Packet

 

10/31/2013

 

 

 

Support Team Meeting Summary

 

10/31/2013

 

 

 

Supports and Outcome Methods for Intensive Support Services

 

10/31/2013

 

 

 

2

Revised 10/31/2013

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1. The 245d application involves particular details to be entered. Ensure that the next blank fields are finalized:

A way to complete dhs 245d forms stage 1

2. Once your current task is complete, take the next step – fill out all of these fields - Safe Medication Assistance and, Safe Transportation Policy, Universal Precautions and Sanitary, D subd D subd subd subd and, D subd, D subd, D subd, Required Policies And Procedures, Program Abuse Prevention Plan PAPP, A subd a A subd a, Documentation Requirements, Day Meeting Summary, Admission and Discharge Register, and Revised with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Part no. 2 for filling out dhs 245d forms

3. Completing Assessment Results for Intensive, Emergency Report and Internal, Fire Drill Log, Funds and Property Authorization, Health Needs Change Notice, Health Needs Record, Incident Report and Internal Review, Individual Abuse Prevention Plan, A subdb subd, HCBS Incident Reporting, HCBS Service Recipient Rights, HCBS Service Recipient Rights, Intensive Support Services, Medication Administration and, and Medication Administration Review is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

dhs 245d forms writing process described (stage 3)

Regarding Intensive Support Services and Medication Administration Review, be sure that you double-check them here. The two of these are the most significant fields in this PDF.

4. The fourth section arrives with these fields to fill out: Medication and Treatment, Medication Setup Record, PersonCentered Planning and, Progress Review Report for, Psychotropic Medication Use and, Quality Management Evaluation and, Release of Information, Satisfaction Evaluation, Service Admission Checklist for, Service Recipient Information, Service Recipient Record Checklist, Service Suspension or Termination, Staff Orientation and Training, Support Team Meeting Summary, and Supports and Outcome Methods for.

Writing part 4 of dhs 245d forms

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