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Attachment B : School Health Services Provider Standards Self Assessment for Concentrated Entities and Site Visit Confirmation Date:Name of Center/School:District :Self Assessment completed by:Date:___Site
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How to fill out hcbs provider self-assessmentncdhhsperformance accomplishments

01
Access the HCBS Provider Self-AssessmentNC DHHS Performance Accomplishments form online or request a physical copy from the DHHS office.
02
Review the form instructions and gather all relevant information and supporting documents.
03
Fill out each section of the form accurately and completely, providing detailed descriptions of your performance accomplishments.
04
Double-check your entries for any errors or missing information before submitting the form.
05
Submit the completed HCBS Provider Self-AssessmentNC DHHS Performance Accomplishments form to the DHHS office for review and approval.

Who needs hcbs provider self-assessmentncdhhsperformance accomplishments?

01
HCBS providers who are seeking to demonstrate their performance accomplishments to the North Carolina Department of Health and Human Services (NC DHHS) or other stakeholders.
02
Organizations or individuals who are involved in the provision of Home and Community Based Services (HCBS) and are required to submit self-assessments of their performance achievements.
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The hcbs provider self-assessmentncdhhsperformance accomplishments is a self-assessment tool designed to track and report on the performance accomplishments of HCBS providers.
All HCBS providers are required to file the self-assessment performance accomplishments.
HCBS providers can fill out the self-assessment by completing the provided questionnaire and submitting it according to the guidelines.
The purpose of the self-assessment is to evaluate and document the performance accomplishments of HCBS providers.
HCBS providers must report on their performance accomplishments, challenges faced, and any improvements made.
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