Get Initiationtermination Of Consumer Directed Option (cdo)

Filling out the Initiation/Thermination of Consumer Directed Option (CDO) form online can seem daunting, but with the right guidance, you can complete it efficiently. This comprehensive guide will walk you through each section and field of the form, ensuring you understand the requirements and necessary steps.

Follow the steps to successfully complete your CDO form online.

1. Press the ‘Get Form’ button to access the CDO form and open it in your online editor.
2. Fill in your personal information, including your name and Medicaid Member ID number at the top of the form.
3. Provide details about your case manager or support broker, including their name and phone number.
4. For the addition of CDO services, enter the date and your initials to confirm your understanding of the choice to utilize consumer directed services.
5. Review and acknowledge your rights and responsibilities regarding the CDO program by checking the appropriate boxes or signing where indicated.
6. Specify the date that indicates when traditional case management ends and when CDO services begin.
7. If you have a representative assisting you, provide their name, address, and relationship to you, along with your representative's initials.
8. Indicate whether you are voluntarily or involuntarily terminating your CDO services, filling out the appropriate section as needed.
9. Ensure all parties involved, including you, your representative, and your case manager/support broker, sign and date the form at the bottom.
10. After completing the form, you can save the changes, download it for your records, print a hard copy, or share it as required.

Complete your CDO document online today to manage your services effectively.