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What is Monthly Self-Direction Summary

The NYS OPWDD Self-Direction Monthly Summary Note is a healthcare form used by individuals in New York to report monthly activities and expenses related to self-directed services.

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Monthly Self-Direction Summary is needed by:
  • Participants receiving self-directed services
  • Designees assisting participants
  • Staff responsible for overseeing services
  • Healthcare professionals documenting services
  • Fiscal intermediaries processing expenses

How to fill out the Monthly Self-Direction Summary

  1. 1.
    Access pdfFiller and use the search bar to find the NYS OPWDD Self-Direction Monthly Summary Note (SD-01).
  2. 2.
    Click on the form to open it in the editor.
  3. 3.
    Before filling out the form, gather necessary information such as activity records, expenses incurred, and progress notes.
  4. 4.
    Begin by completing the participant section, checking off used activities and detailing your participation in each.
  5. 5.
    Make sure to fill in monthly expenses, ensuring accuracy for each reported item.
  6. 6.
    In the designated areas, include notes on progress toward your valued outcomes as required.
  7. 7.
    After filling in all necessary fields, double-check for any missing information.
  8. 8.
    Review the form thoroughly for any errors or omissions before finalizing.
  9. 9.
    To save your work, click the save icon in pdfFiller; you can also choose to download the completed form.
  10. 10.
    If you need to submit the form, follow submission guidelines provided by your caseworker or OPWDD representative.
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FAQs

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Eligibility includes individuals in New York declared eligible for self-directed services under the OPWDD, along with their designees and assigned staff.
The NYS OPWDD Self-Direction Monthly Summary Note must be submitted by the end of each month to reflect activities and expenses for that period.
Forms can be submitted electronically, typically through a designated OPWDD platform or via your fiscal intermediary, as directed by your caseworker.
Gather supporting documents such as receipts for expenses and records of activities performed during the month. These help substantiate your claims and summary.
Common mistakes include forgetting to sign the form, leaving mandatory fields blank, and misrecording expenses, all of which can delay processing.
Processing times can vary. Generally, expect your submission to be reviewed within several business days, depending on the workload of the OPWDD.
No, notarization is not required for this form; however, it must be signed by the participant or their designee.
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