Staff action plan opwdd 2026

1. Click ‘Get Form’ to open the staff action plan in the editor.
2. Begin by entering the Agency Name and the Name of Individual at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Fill in the Medicaid Number (CIN#) and Addendum Date. This helps in tracking and referencing the document appropriately.
4. Select the service option under 'This Addendum serves as a temporary change...' based on the individual's needs, ensuring you check all relevant boxes.
5. In 'My Goal', articulate the individual’s valued outcome clearly, such as 'To be safe'. This sets a positive tone for their care plan.
6. Detail Provider Assigned Goals/Supports/Safeguards, specifying frequency. For example, 'Teach safety skills weekly' provides clarity on expectations.
7. Outline Staff Actions, including specific activities and their frequency. For instance, 'Habilitation staff will work with...' ensures accountability.
8. Finally, gather signatures from all required parties. Document approval methods and dates accurately to maintain compliance.

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