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OR eXPRS Plan of Care - Service Delivery Report Form 2015 free printable template

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EXPOS Plan of Care Services Delivered Report Form Customer Name: Prime: Provider Name: Provider #: CM Organization: SC/PA Name: Service Authorized: Mod Cd: Units: Type: Freq: Service Delivered On:
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How to fill out OR eXPRS Plan of Care - Service

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How to fill out OR eXPRS Plan of Care - Service Delivery

01
Obtain the OR eXPRS Plan of Care template.
02
Fill out client information, including name and contact details.
03
Identify and list the services required by the client.
04
Specify the goals and objectives for each service.
05
Include timelines for service delivery and expected outcomes.
06
Document the frequency and duration of services.
07
Assign responsibility for each service to specific staff members.
08
Review the plan with the client for any necessary adjustments.
09
Obtain client and staff signatures to finalize the plan.
10
Submit the completed plan to the appropriate authority.

Who needs OR eXPRS Plan of Care - Service Delivery?

01
Individuals needing assistance with developmental disabilities.
02
Families or guardians making decisions for individuals with special needs.
03
Service providers and agencies that deliver support services.
04
Professionals involved in the care and support of eligible individuals.
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The OR eXPRS Plan of Care - Service Delivery is a framework used in Oregon to outline and manage the provision of services for individuals receiving care. It includes the specific services provided, the goals for the individual, and how those services will be delivered.
Providers of services to clients, including care coordinators and service agencies, are required to file the OR eXPRS Plan of Care - Service Delivery as part of the documentation needed for funding and service management.
To fill out the OR eXPRS Plan of Care - Service Delivery, providers should gather necessary client information, identify the services needed, set measurable goals, and outline the delivery methods and timelines. Detailed instructions can often be found in accompanying guidance documents.
The purpose of the OR eXPRS Plan of Care - Service Delivery is to ensure that individuals receive appropriate, coordinated services tailored to their needs, while also providing a clear record for accountability and funding purposes.
The OR eXPRS Plan of Care - Service Delivery must report client demographics, assessment information, identified needs, specific services to be provided, goals and objectives, providers responsible for service delivery, and any relevant timelines for services.
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