Get Hcbs/fe Back-up Plan - Kdads Provider Information Resource ... - Aging Ks

Completing the HCBS/FE Back-Up Plan is essential for ensuring that you have a clear plan in place for emergencies when your regular caregiver is unavailable. This guide will provide you with step-by-step instructions to effectively fill out the form online.

Follow the steps to complete your HCBS/FE Back-Up Plan accurately.

1. Press the ‘Get Form’ button to acquire the form and open it in your preferred document editor.
2. Begin by filling in your personal information in the Customer Information section. Enter your name, date, address, city, zip code, and phone number accurately.
3. Identify your guardian or responsible party by providing their name and phone number, ensuring that it is up to date.
4. In the Back-Up Plan Definition section, review the purpose of the back-up plan and ensure that you understand how it assists in emergency situations.
5. Fill out the Back-Up Plan if worker(s) do not show up section. List the individual(s) you will contact if your scheduled worker fails to arrive and their associated service needs and availability.
6. Provide a current description of necessary tasks for your health and welfare. This information is vital for back-up workers to assist effectively.
7. Complete the Back-Up Plan in case of a natural disaster or emergency situation. List emergency contacts and articulate your emergency preparedness plans.
8. In the Other Support Contacts section, write down additional contacts that may assist if your health or welfare is jeopardized. Include their relationship to you.
9. Ensure you understand the emergency contact numbers for Adult Protective Services and the KDADS Complaint Line as a resource.
10. Sign and date the form in the designated areas, ensuring that all signatures are complete for validation.
11. Once you have filled in all sections, you may save changes, download, print, or share the completed form as needed.

Complete your HCBS/FE Back-Up Plan online today for your peace of mind!