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Income Support Services (IHSS) Shared Responsibilities Plan Member Name:Health First Colorado ID:Responsibilities of IHSS Agency Name:Agency Phone:IHSS agencies are responsible for everything in this

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How to fill out in-home support services-shared responsibilities

01

Determine the responsibilities that are shared between the individual receiving the in-home support services and the support provider.

02

Create a written agreement outlining the shared responsibilities, including tasks related to household chores, personal care, and communication.

03

Schedule regular check-ins to review the effectiveness of the shared responsibilities and make any necessary adjustments.

04

Clearly communicate expectations and boundaries to ensure a successful partnership between the individual and the support provider.

Who needs in-home support services-shared responsibilities?

01

Individuals who require assistance with daily living activities such as personal care, household chores, or meal preparation.

02

Individuals who want to maintain a level of independence but need some support to do so.

03

Individuals who have a disability or medical condition that affects their ability to perform daily tasks without assistance.

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What is in-home support services-shared responsibilities?

In-home support services-shared responsibilities refer to the agreement between the caregiver and the recipient of care to share responsibilities for the care provided in the home.

Who is required to file in-home support services-shared responsibilities?

Both the caregiver and the recipient of care are required to file in-home support services-shared responsibilities.

How to fill out in-home support services-shared responsibilities?

To fill out in-home support services-shared responsibilities, both parties must agree on the division of responsibilities and sign the agreement.

What is the purpose of in-home support services-shared responsibilities?

The purpose of in-home support services-shared responsibilities is to establish clear expectations and obligations for both the caregiver and the recipient of care.

What information must be reported on in-home support services-shared responsibilities?

Information such as the specific tasks to be performed, schedules, and any special requirements must be reported on in-home support services-shared responsibilities.

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