SIS100 Instructions for the SIS Client Entry Form DSS-5027
100.04 DSS-5027 Data Entry Instructions. Open Preview. File Type: pdf File Size: 1 MB Categories: Services Information System (SIS), Social Services Tags: Manual Disclaimer: The Google Translate feature (at the top right corner) of the page cannot translate all types of documents, and may not provide an exact translation. Contact Information ...
DSS-5027 . Table of County Codes Used for the Services Information System. 01 Alamance 51 Johnston 02 Alexander 52 Jones 03 Alleghany 53 Lee 04 Anson 54 Lenoir 05 Ashe 55 Lincoln 06 Avery 56 Macon 07 Beaufort 57 Madison 08 Bertie 58 Martin 09 Bladen 59 McDowell 10 Brunswick 60 Mecklenburg 11 Buncombe 61 Mitchell
The DSS-5027 is designed to be used to: • document the client's request/application for social services • document the client's income eligibility for services
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The Medicaid eligibility question on the DSS-5027 form only needs to be answered if staff are opening a client for services or modifying an existing service. An example of modifying an existing service would be, if SIS Code 107 Guardianship is currently open …
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