Get Waiting List Criteria Tool

The Waiting List Criteria Tool is an essential document for individuals seeking home and community-based services. This guide provides clear and comprehensive instructions for completing the form online to ensure a smooth application process.

Follow the steps to complete the Waiting List Criteria Tool effectively.

1. Click the ‘Get Form’ button to obtain the form and access it in your preferred online format.
2. Begin by filling in your individual name and social security number in the designated fields. Ensure this information is accurate to avoid delays.
3. Enter the review date and initial date within the specified timeframes (e.g., review date should be within 45 days of the application submission).
4. Proceed to question 1. Assess whether the individual is at risk of medical deterioration without services and select 'Yes' or 'No'.
5. Continue to questions 2 through 11, responding to each based on the individual's current situation. Ensure you review the implications of each question thoroughly.
6. In questions that require comments or explanations, provide detailed information to support the individual's case, especially for area 10 regarding additional health and safety issues.
7. After answering all questions and providing comments, calculate the total score based on your responses.
8. Review all provided information for accuracy and completeness.
9. Once satisfied, save your changes, and utilize the options to download, print, or share the form as needed.

Complete your documents online to ensure timely processing.