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Sis assessment pa: Fill out & sign online | DocHub The survey gathers information about scheduling, the SIS assessor, and the assessment process. #1 Internet-trusted security seal. The SIS-A is a standardized assessment tool designed to measure the pattern and intensity of supports that a person aged 16 years and older with intellectual disability requires to be successful in community settings. %PDF-1.4
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As an additional level of quality oversight, an ODP Regional SIS Lead and/or KEPRO Interview and Profile Form ID/TRACKING NUMBER ON Adult Version (ages 16 and up) Name LAST FIRST MIDDLE LY Supports Intensity Scale Date SIS Completed Address / / / City, State, Zip Date of Birth /. Many states use the results of the SIS to determine necessary supports and services for the individual. Supports Intensity Scale - Adult Version (SIS-A). 275 E. Main Street 4CF Frankfort, KY 40621 Phone: (502) 564-7700 Fax: (502) 564-8917 Hours: Monday-Friday 8:00 am-4:30 pm ET Crisis Lines by County Hotlines/Other Contacts Suicide Prevention Hotline Contact Us PASRR, Incident Reporting, and Mortality Review Fax: (502) 564-2284 Branch Manager Cathy Lerza (502) 782-6222 It identifies the types and amount of support each person needs to be successful. What is the SIS-A? The Childrens Support Assessment is used for clients aged 15 and younger. Information from the SIS helps with this discovery process. FSIS Directive 4430.3, Revision 3, In-Plant Performance System (IPPS), 9/11/12. 0000004871 00000 n
My Account, Forms in Customized Rate Help and Useful Documents, FORM pg-20 Customized Rate Provider Guidelines:Updated 7/1/2022, FORM SF-20-This form is required with submission of all customized rate applications and should be uploaded to WaMS:Updated 1/1/2023. By using this site you agree to our use of cookies as described in our. 0000016878 00000 n
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SIS Online Users Guide - DocsLib 0000065727 00000 n
Some responses to certain questions will trigger additional supplemental questions. (2015) The SIS-A is a standardized assessment tool designed to measure the pattern and intensity of supports that a person aged 16 years and older with intellectual disability requires to be successful in community settings.