Definition and Purpose of Form 6790
Form 6790, often referred to as the DHS 6790 form, is a critical document utilized by disability service providers in Minnesota. Its primary purpose is to facilitate the documentation and funding requests for various services aimed at individuals with disabilities. This form plays a vital role in ensuring that providers can accurately report their staffing needs, service delivery, and compliance with state regulations.
The form is specifically designed to support Home and Community-Based Services (HCBS) waivers, which are essential for funding services such as adult day programs, employment support, and customized living arrangements. By detailing the staff-to-participant ratios, activities provided, and care hours, Form 6790 ensures transparency and accountability in the funding process.
How to Use the DHS 6790 Form
Using the DHS 6790 form involves several steps that ensure accurate completion and submission. Providers must first gather all necessary information regarding the services being offered and the specific needs of the individuals they support. This includes details about staffing, service types, and participant demographics.
Once the information is collected, the provider fills out the form, ensuring that all sections are completed accurately. This may involve detailing the types of services provided, the number of staff involved, and the hours dedicated to each service. After filling out the form, it must be submitted to the appropriate state agency for review and approval, which is crucial for securing funding.
Obtaining the DHS 6790 Form
The DHS 6790 form can be obtained through several channels. Providers can typically access the form via the Minnesota Department of Human Services (DHS) website or through direct contact with their local county or tribal office. It is important for providers to ensure they are using the most current version of the form to avoid any issues with compliance or funding requests.
Additionally, some service providers may have the form available through internal systems or documentation resources, making it accessible for staff members responsible for completing and submitting the form.
Filling Out the DHS 6790 Form
Filling out the DHS 6790 form requires careful attention to detail. Each section of the form must be completed with accurate information regarding the services provided. This includes specifying the type of services, the number of participants, and the staff involved in delivering those services.
Providers should follow these steps when filling out the form:
- Gather Information: Collect all necessary data about services and staffing.
- Complete Each Section: Fill out the form methodically, ensuring all required fields are addressed.
- Review for Accuracy: Double-check all entries for correctness before submission.
Key Elements of the DHS 6790 Form
The DHS 6790 form includes several key elements that are essential for proper documentation and funding requests. These elements typically include:
- Service Type: Identification of the specific services being provided, such as day programs or employment support.
- Staffing Information: Details on the number of staff and their roles in delivering services.
- Participant Information: Data about the individuals receiving services, including their needs and preferences.
- Hours of Service: Documentation of the hours dedicated to each type of service provided.
Examples of Services Covered by Form 6790
Form 6790 is used to document various services aimed at supporting individuals with disabilities. Some examples include:
- Adult Day Services: Programs that provide structured activities and support during the day for adults with disabilities.
- Employment Support: Services that assist individuals in finding and maintaining employment, including job coaching and training.
- Customized Living: In-home care services that provide assistance with daily living activities tailored to individual needs.
Who Typically Uses the DHS 6790 Form?
The DHS 6790 form is primarily used by various stakeholders involved in providing services to individuals with disabilities. This includes:
- HCBS Providers: Organizations that offer home and community-based services.
- Lead Agencies: County or tribal staff responsible for overseeing service delivery.
- Case Managers: Professionals who coordinate care and services for individuals with disabilities.
Legal Use of the DHS 6790 Form
The use of Form 6790 is governed by state regulations that ensure compliance with funding requirements for disability services. Providers must adhere to these regulations to maintain eligibility for state-funded programs. Failure to comply with the legal requirements associated with the form can result in penalties or loss of funding.
It is essential for providers to stay informed about any changes in legislation or policy that may affect the use of Form 6790, ensuring that they remain compliant and continue to provide necessary services to their clients.
