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Adaptive Aid Flowchart Dental Flowchart Minor Home Modification Flowchart
Download the PDF Page-1 Rounded rectangle STEP 1 The Service Planning Team (SPT) completes Form 3660. STEP 1The Service Planning Team (SPT) completes Form 3660. Rounded rectangle.8 STEP 3 – Cost of Item DSSW will obtain 3 price quotes or send... STEP 3 – Cost of Item· DSSW will obtain 3 price quotes or send specs to vendors with request for 3 bids.· Quotes or bids must be obtained within 60 days of completion of specifications.· Request bids· Bids received· Bid selection form completedCONTINUE to STEP 4 Rounded rectangle.2 STEP 2 DSSW will... A. Verify funds for professional evaluati... STEP 2DSSW will...A. Verify funds for professional evaluation in MESAV.B. Contact professional to perform assessment and complete Forms 3660.C. Professional completes & returns assessment and Form 3660.D. SPT team agrees MHM is needed and requests funds for specifications.E. Verify funds for specifications are in MESAV.F. Submit PO request for specifications.G. The contractor is notified to complete specs & Form 3849A. Specifications are to be completed within 30 days of authorization.H. Contractor returns specs & Form 3849A. *specifications MUST include a ONE year warranty.I. Form 3849A signed by client/LAR, CMA & DSACONTINUE to STEP 3 Flexi-arrow 2 Ellipse STEP 3 – Permission to Modify Date Permission to modify was s... STEP 3 – Permissionto Modify DatePermission to modifywas secured on:CONTINUE to STEP 4 Flexi-arrow 2.5 Rounded rectangle.6 STEP 4a – Cost of Item DSSW will obtain 3 price quotes or sen... STEP 4a – Cost of Item· DSSW will obtain 3 price quotes or send specs to vendors with request for 3 bids.· Quotes or bids must be obtained within 60 days of completion of specifications.· Request bids· Bids received· Bid selection form completedCONTINUE to STEP 5 Flexi-arrow 2.7 Sheet.12 Minor Home Modification Flowchart DSSW is happy to have the o... Minor Home Modification FlowchartDSSW is happy to have the opportunity to assist you with securing your home modification. Please recognize that this process is not fast – there are CLASS rules that must be followed. Three months to completion is the norm. Rounded rectangle.7 DSA must include documentation from the vendor for a warranty... DSA must include documentation from the vendorfor a warranty of at least ONE year. Flexi-arrow 2.10 Flexi-arrow 2.11 Rounded rectangle.13 STEP 7 - Inspection Inspection Purchase Order initiated in DS... STEP 7 - Inspection· Inspection Purchase Order initiated in DSSW system.· Insp. Purchase Order approved in DSSW system.· Inspector notified to complete inspection.CONTINUE to STEP 8 Flexi-arrow 2.14 Rounded rectangle.4 STEP 6 - MHM Completed Congratulations! You have almost compl... STEP 6 - MHM CompletedCongratulations!You have almost completed the Home Modification process.CONTINUE to STEP 7 Rounded rectangle.5 STEP 8 – Documentation of Completion Inspection and Documenta... STEP 8 – Documentation of Completion· Inspection and Documentation of Completion, Form 8605, should be completed within 10 workdays of MHM completion.· Completed Form 8605 Faxed to Case Manager within 7 DADS workdays. Flexi-arrow 2.6 Rounded rectangle.18 Thank you for working with us throughout this process. It is ... Thank you for working with us throughout this process.It is always our pleasure to work with you! Rounded rectangle.10 STEP 5 – Procurement Process A. Forms 2067, 3660 & 3849A, spe... STEP 5 – Procurement ProcessA. Forms 2067, 3660 & 3849A, specs and bids are submitted to CMA with request to add funds.B. Proof of Ownership obtained.C. Funds added to MESAV.D. Purchase Order initiated in DSSW system.E. Purchase Order approved in DSSW system.F. Vendor will begin construction within 7 days of authorization of IPC effective date.The Vendor has 60 days to complete the MHM. Flexi-arrow 2.9
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