Get Also To Ddd (division Of Developmental Disabilities) Andor Dmhas - Nj

This guide provides a step-by-step approach to completing the Also To DDD (Division Of Developmental Disabilities) Andor DMHAS - Nj form online. By following these instructions, users can ensure that they accurately fill out the necessary information prior to nursing facility admission.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and access it in your digital editor.
2. Begin with Section I, which requires demographic information about the applicant. Fill in their name, social security number, current location address, date of birth, and current living setting.
3. Proceed to Section II for the mental illness screen. Carefully answer the questions regarding the individual's mental health history and provide any necessary diagnoses, using DSM-5 or ICD codes where applicable.
4. In Section III, if applicable, determine the outcome of the mental illness primary dementia exclusion by checking the responses to the appropriate questions.
5. Move to Section IV, which focuses on intellectual disability, developmental disability, and related conditions. Respond to each query thoughtfully, indicating any evidence of these conditions and providing explanations when required.
6. Complete Section V by determining the screening outcomes for Sections II, III, and IV. Ensure that you check the appropriate boxes based on the responses from earlier sections.
7. In Section VI, determine if a categorical determination is being requested, and check the relevant conditions if applicable.
8. Fill out Section VII if the individual qualifies for a 30-day exempted hospital discharge, answering the eligibility questions appropriately.
9. Finalize by completing Section VIII, certifying the screening professional's details and signing the form.
10. Ensure to save your changes, and if necessary, download, print, or share the form with the appropriate agencies as directed, including faxing to OCCO and also to DMHAS and/or DDD.

Fill out your forms online today to ensure a smooth application process.