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Commonwealth of Massachusetts EO HHS www.mass.gov/masshealth Direct Care Worker Signature Form Name of scale intermediary (FI) All DCS hired by a waiver participant must ll out and sign this form

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What is dcw-sindd?

dcw-sindd stands for Data Collection Worksheet for Individuals with Disabilities in State Developmental Disabilities Agencies.

Who is required to file dcw-sindd?

State Developmental Disabilities Agencies are required to file dcw-sindd.

How to fill out dcw-sindd?

dcw-sindd can be filled out online or by submitting a paper form with the required information.

What is the purpose of dcw-sindd?

The purpose of dcw-sindd is to collect data on individuals with disabilities receiving services from state developmental disabilities agencies.

What information must be reported on dcw-sindd?

dcw-sindd must report demographic information, services received, and outcomes for individuals with disabilities.

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