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Form ODD 149: Investigative Report Format Completion Instructions (revised 4/30/15) All provider agencies are required to use the ODD 149 for investigations of reportable incidents, serious notable

How to fill out opwdd 149 - opwdd

How to fill out OPWDD 149:

1. Obtain the OPWDD 149 form from the Office for People With Developmental Disabilities (OPWDD) website or a local OPWDD office.
2. Begin by filling out the personal information section, including your name, address, date of birth, and contact information.
3. Provide information about the individual who will be receiving services, such as their name, date of birth, and contact information.
4. Indicate the type of services and supports the individual is currently receiving or will be receiving.
5. Fill out the requested information about the individual's medical and psychological history, including any diagnoses, medications, and treatments they are receiving.
6. If applicable, provide information about any guardianship or legal representation the individual may have.
7. Fill out the section requesting information about the individual's financial situation, including income, assets, and any benefits they receive.
8. Indicate whether the individual has applied for or received Medicaid or other health insurance coverage.
9. If applicable, provide information about any previous assessments or evaluations the individual has undergone.
10. Finally, sign and date the form, and make sure all required supporting documents, such as proof of income or medical records, are attached.

Who needs OPWDD 149:

1. Individuals with developmental disabilities who are seeking services and supports from the Office for People With Developmental Disabilities (OPWDD).
2. Parents or guardians of individuals with developmental disabilities who are under the age of 18 and require services from OPWDD.
3. Caregivers or legal representatives of individuals with developmental disabilities who require assistance in accessing OPWDD services and supports.
4. Professionals working with individuals with developmental disabilities, such as healthcare providers or social workers, who need to gather necessary information to support their clients' OPWDD applications or assessments.

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What is opwdd 149?

OPWDD 149 is a form used by providers to report incidents and wage and benefits data for certain direct support professionals.

Who is required to file opwdd 149?

Providers of services must file opwdd 149.

How to fill out opwdd 149?

OPWDD 149 can be filled out online or on paper following the instructions provided by OPWDD.

What is the purpose of opwdd 149?

The purpose of OPWDD 149 is to collect data on incidents and wage and benefits for direct support professionals.

What information must be reported on opwdd 149?

Information such as incidents, wage, and benefits data for direct support professionals must be reported on OPWDD 149.