Dshs Negotiated Care Plan 2014-2025 Form

What is the DSHS Negotiated Care Plan Form?

The DSHS negotiated care plan form is a crucial document used in the state of Washington for individuals receiving services through the Department of Social and Health Services (DSHS). This form outlines the specific care and support needs of individuals, particularly those in adult family homes. It serves as a guide for caregivers and providers to ensure that the individual’s unique requirements are met effectively. The negotiated care plan is tailored to the individual, considering their preferences, health conditions, and personal goals.

Steps to Complete the DSHS Negotiated Care Plan Form

Completing the DSHS negotiated care plan form involves several key steps to ensure accuracy and compliance. First, gather all necessary information about the individual, including their medical history, current medications, and any specific care needs. Next, fill out the form by providing detailed information in each section, ensuring that all fields are completed accurately. After completing the form, review it for any errors or omissions. Finally, submit the form to the appropriate DSHS office, either electronically or by mail, depending on the submission guidelines.

Key Elements of the DSHS Negotiated Care Plan Form

Several key elements must be included in the DSHS negotiated care plan form to ensure it is comprehensive and effective. These elements typically include:

• Personal Information: Basic details about the individual, such as name, date of birth, and contact information.
• Health Assessment: A summary of the individual's health status, including any medical conditions and medications.
• Care Goals: Specific goals related to the individual’s care and support, reflecting their personal preferences.
• Service Providers: Information about the caregivers and service providers involved in the individual’s care.
• Emergency Contact Information: Details of individuals to contact in case of an emergency.

Legal Use of the DSHS Negotiated Care Plan Form

The DSHS negotiated care plan form must be used in accordance with state regulations and guidelines. It is essential that the form is completed accurately and submitted in a timely manner to ensure compliance with legal requirements. The information contained within the form is protected under privacy laws, including HIPAA, which mandates that individuals' health information is kept confidential. Caregivers and providers must ensure that they handle the form with the utmost care and security to protect the individual's rights.

Form Submission Methods

The DSHS negotiated care plan form can be submitted through various methods, depending on the preferences of the individual and the requirements of the DSHS office. Common submission methods include:

• Online Submission: Many forms can be completed and submitted electronically through the DSHS online portal.
• Mail: Individuals can print the completed form and mail it to the designated DSHS office.
• In-Person Submission: The form can also be submitted directly at local DSHS offices, allowing for immediate processing.

Examples of Using the DSHS Negotiated Care Plan Form

Utilizing the DSHS negotiated care plan form effectively can enhance the quality of care provided to individuals. For example, a caregiver may use the form to outline specific dietary needs for an individual with diabetes, ensuring that meals are prepared according to their health requirements. Additionally, the form can help in coordinating services among multiple providers, ensuring that everyone involved in the individual's care is informed and aligned with the established care plan.