RCHS CDCS Addendum to CSP - Ramsey County 2026

1. Click ‘Get Form’ to open the RCHS CDCS Addendum in the editor.
2. Begin by entering the Client Name, Date of Birth, and PMI # in the designated fields at the top of the form.
3. Fill in the Case Manager and Agency information, along with details for the Fiscal Intermediary and Support Planner.
4. Indicate who completed the addendum and specify the Waiver Span Dates.
5. In the section provided, clearly identify any changes you wish to make to your plan along with reasons for these changes.
6. Outline the expected outcomes from these changes in the next field.
7. Specify the cost of the change and any associated FSE fees in their respective fields.
8. Indicate where these funds will be sourced from in the provided space.
9. Ensure that all required signatures are obtained: CDCS Coordinator Approval, Participant/Guardian Signature, and Case Manager Signature along with their dates.
10. If necessary, add or attach any supporting documentation before finalizing your submission.

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