Get Acuity Assessment Instrument (aai) Override Form - Dodd Ohio

This guide provides comprehensive instructions for users on how to fill out the Acuity Assessment Instrument (AAI) Override Form - Dodd Ohio online. By following the steps outlined, users can successfully complete the form with confidence.

Follow the steps to successfully complete your AAI override form.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Enter the county name in the designated field to identify the location of the request.
3. Provide the name of the County Board or Council of Governments (COG) staff member making the request.
4. Fill in the DODD number if known; this is an identification number relevant to the enrollee.
5. Input the last name of the enrollee in the respective field.
6. Include the current waiver span dates using the format provided.
7. Complete the fields for the enrollee's first name as well as the requested AAI group.
8. Specify the dates for the new group assignment by entering them in the appropriate fields.
9. Clearly state the reason for requesting a new group assignment along with any budget limitations.
10. Review and confirm the statements regarding the responsibilities and agreements, ensuring they are correct.
11. Once all fields are accurately filled, save your changes, and utilize the options to download, print, or share the completed form.

Start filling out your Acuity Assessment Instrument (AAI) Override Form online today!