LTSS Forms Webinar · 2016-05-20 · LTSS FORMS –NEW & REVISED WEBINAR Listen Via computer with WebEx By phone: 1-866-427-2706 ID: 847-9865 (auto muted) Questions Type into Question

LONG-TERM SERVICES & SUPPORTS (LTSS) FORMS:

NEW AND REVISED WEBINAR

MAY 19, 2016

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LTSS FORMS – NEW & REVISED WEBINAR

Listen

Via computer with WebEx

By phone: 1-866-427-2706 ID: 847-9865 (auto muted)

Questions

Type into Question Box

Recording

May 20,2016 – November 30, 2016

1-855-859-2056 ID: 847-9865

1

About Today’s Webinar

Welcome & introductions

Different approach to communicate new/revised forms & documents

Posted to eDocs or MnCHOICES CountyLink

Instructions will be included for forms

2

Learning Objectives

Participants will be able to:

Understand the revisions made to LTSS forms used during the assessment and support planning process

Use the revised LTSS forms with competence

3

MNCHOICES GUIDANCE DOCUMENTS - REVISED

CountyLink - Additional Resources - Forms and Processes

New & already on CountyLink – When to use the DHS-6791B (MnCHOICES CSP/CSSP)

Forms for LTSS Assessment, Eligibility and Support

Planning

When to use MnCHOICES to conduct assessments

and reassessments 4

MNCHOICES GUIDANCE DOCUMENTS – REVISED, CONT.

CountyLink – Additional Resources - Forms and Processes

MnCHOICES Documents and Reports

MnCHOICES Assessments and PCA Services for

Families and Children Enrollees

5

LTSS FORMS – NEW & REVISED

Coming Soon to CountyLink!

Assessment Volume Report 2014-2015

MnCHOICES Assessment Interview Guide

MnCHOICES brochure

Reassessment Rollout documents – if revised

6

LTSS FORMS – NEW & REVISED, CONT.

Documents/Reports

DHS-1941 My right to appeal

DHS-7185 Case Manager’s Recipient Information

Form

Obsolete - DHS-5150 - LTCC Cost Report for face-to-face Assessment of Persons Under 65 Years

7

LTSS FORMS – NEW NAME & REVISED

DHS-2727 Long-Term Services and Supports Assessment and Program Information and Signature Sheet

[Formerly: Application for Title XIX Home and Community-Based Waiver Services and Alternative Care (135 Day Eligibility) Program Information and Signature Sheet]

8

LTSS FORMS – NEW & REVISED, CONT. 2

DHS - 6791A Community Support Plan Worksheet

DHS - 6791B MnCHOICES Community Support Plan with Coordinated Services and Supports Form

DHS - 6791C Instructions for MnCHOICES Community Support Plan with Coordinated Services and Supports Form

DHS - 6791D Coordinated Services and Supports Plan Signature Sheet - New 9

10

Questions

Encore

Recording

May 20,2016 – November 30, 2016

1-855-859-2056 ID: 847-9865

11