Follow the steps to effectively complete the MN addendum online.

1. Press the ‘Get Form’ button to access the document and open it in the editing interface.
2. Begin by entering the client name in the designated field, followed by the date of birth and PMI number. Ensure all details are accurate to avoid processing delays.
3. Fill in the information for the case manager and the agency name. This section confirms who is responsible for your support plan.
4. Enter the name of the fiscal intermediary and the support planner, as this gives context on who will manage the financial aspects of your plan.
5. Indicate who has completed the addendum by filling out the relevant space in this section.
6. Specify the waiver span dates that apply to your plan to establish the validity period for the changes you are requesting.
7. Clearly outline the changes you wish to make to your plan, along with the reasons for these changes. This ensures that the need for modifications is well understood.
8. Describe the expected outcome from the proposed changes to give context to the request and how it is anticipated to improve services.
9. Document the cost associated with the change in the provided space, as this will help assess budget implications.
10. Fill in the anticipated Financial Supportive Equipment (FSE) fees and identify the source of funding for these costs to provide clarity on financial arrangements.
11. Obtain the necessary approvals by acquiring the signature from the CDCS coordinator, along with the date.
12. Ensure that the participant or guardian signs and dates the form, signifying consent and understanding of the changes.
13. Lastly, have the case manager sign and date the form, finalizing the approval process.
14. If needed, add or attach any supporting documentation relevant to your changes before submission.
15. Once all fields are filled out and reviewed, save any changes, download, print, or share the completed document as necessary.

Complete your documents online now to ensure your community support needs are met!