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  • Appendix C- Consumer-direction Self-assessment Questionnaire

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Appendix C ConsumerDirection SelfAssessment QuestionnaireThe selfassessment questionnaire is used to determine your capability to direct your care in the consumerdirection option of the Community.

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How to fill out the Appendix C- Consumer-Direction Self-Assessment Questionnaire online

The Appendix C- Consumer-Direction Self-Assessment Questionnaire is a vital tool to assess your readiness to direct your care in the Community Alternatives Program. This guide provides you with clear and supportive instructions on how to complete the form online, ensuring that you can identify your care needs and requirements for any hired support staff effectively.

Follow the steps to fill out the questionnaire online.

  1. Click ‘Get Form’ button to access the questionnaire and open it in an online editor.
  2. Begin with the 'Is Consumer-Direction Right for Me?' section. Answer the questions during the orientation to explore if consumer-direction suits your needs.
  3. Move to 'What Are My Health Care Needs?' section. Here, list the supports and services you require to maintain your quality of life.
  4. In 'What Areas Do I Need Help?' indicate your level of knowledge regarding the various topics related to care and management.
  5. Complete the 'Thinking Like an Employer' section by detailing your expectations of any potential employee and the tasks they would perform.
  6. Proceed to 'Finding the Right Employee' and check the importance of various attributes that you seek in a care provider.
  7. Then, complete the 'Competency Validation of Direct Care Staff' section after you have identified potential employees. Assess their skills and determine if they meet your needs.
  8. Once all sections have been filled out, save your changes. You may then download, print, or share the completed questionnaire as needed.

Start filling out your Appendix C- Consumer-Direction Self-Assessment Questionnaire online today!

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Consumer-direction is a service delivery model that allows the Community Alternatives Program (CAP) beneficiary or his/her representative to have more choice and control over select waiver services by filling the role of employer.

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