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How to fill out the WA DSHS 14-300 online
The WA DSHS 14-300 form is essential for individuals seeking admission to Medicaid-certified nursing facilities or those who may benefit from a re-evaluation. Completing this form accurately is crucial to ensuring the appropriate services are provided. This guide will take you through the step-by-step process of filling out the form online.
Follow the steps to successfully complete the WA DSHS 14-300 form.
- Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
- Begin filling out the personal information section, including the name, address, ADSA ID (if available), date of birth, and the legal representative details if applicable.
- Indicate whether the individual is a current resident of a nursing facility. If they are, provide the date of admission and details of any significant changes.
- Proceed to Section I, where you will determine indicators of serious mental illness (SMI) or intellectual disability (ID). Answer the Yes/No questions accordingly, and provide DSM codes if relevant.
- In Section IIB, check any applicable boxes regarding categorical determinations and indicate which categories apply based on the individual's situation.
- Complete Section III to document exempted hospital discharge or categorical determination. Ensure the appropriate professional signs and dates this section.
- Finish filling out Section IV, which includes indicating if a Level II evaluation is necessary based on the previous sections and provide any additional comments.
- Once all sections are completed, save your changes. You can download, print, or share the form as required.
Take the steps now to fill out the WA DSHS 14-300 form online for efficient processing.
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The Department of Social and Health Services (DSHS) in Washington provides various services, including support for individuals with disabilities. They implement programs like WA DSHS 14-300 to manage the assessment of individuals needing specialized care. DSHS aims to ensure that residents receive the right resources for their needs. Their work plays an essential role in enhancing the quality of life for many in Washington.
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