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WV WV-BMS-I/DD-7 Direct Support Service 2015-2026 free printable template

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WEST VIRGINIA I/DD WAIVER DIRECT SUPPORT SERVICE LOG (To be used with Traditional Service Delivery Models) Name of Person Who Receives Services Provider Agency Month of Service Year of Service Name
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WV WV-BMS-I/DD-7 Direct Support Service Form Versions

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WV WV-BMS-I/DD-7 Direct Support Service 2015
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WV WV-BMS-I/DD-7 Direct Support Service 2011
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Start by downloading the WV-BMS-I/DD-7 Direct Support Service form from the official website.
02
Read the instructions carefully to understand what information is needed.
03
Fill out the personal information section, including your name, address, and contact details.
04
Provide details about the individual who requires direct support services, including their name, birth date, and diagnosis.
05
Specify the type of direct support services being requested.
06
Include any relevant medical or behavioral information that may assist in providing support.
07
Review the completed form for accuracy and completeness.
08
Sign and date the application at the designated area.
09
Submit the completed form to the appropriate office as indicated in the instructions.

Who needs WV WV-BMS-I/DD-7 Direct Support Service?

01
Individuals with intellectual and developmental disabilities who require assistance with daily living activities.
02
Caregivers seeking support services for their loved ones with disabilities.
03
Individuals transitioning from institutional settings to community-based environments.
04
Families looking for resources to help manage the care of their disabled relatives.
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WV WV-BMS-I/DD-7 Direct Support Service is a program designed to provide support and assistance to individuals with intellectual and developmental disabilities to enhance their daily living and community integration.
Providers of direct support services for individuals with intellectual and developmental disabilities are required to file the WV WV-BMS-I/DD-7 form.
To fill out the WV WV-BMS-I/DD-7 Direct Support Service form, ensure to provide accurate client information, service dates, types of services provided, and any other required details as per the guidelines outlined by the West Virginia Bureau for Medical Services.
The purpose of the WV WV-BMS-I/DD-7 Direct Support Service is to document and ensure appropriate funding and reimbursement for services provided to individuals with intellectual and developmental disabilities.
Information that must be reported on the WV WV-BMS-I/DD-7 Direct Support Service includes the client's name, service dates, type of service, provider's details, and any additional documentation as required for compliance and reimbursement.
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