RFP 240000001827 - Attachment F - Home Help Worksheet Nurse Review.docx
DOCX document 32 KB Posted
- Solicitation number
- RFP - 171 - 240000001827
- Issued by
- Ingham County, Lansing City, Michigan
About this file
The document provided appears to be an attachment titled "HOME HELP WORKSHEET" that is part of a Request for Proposal (RFP) for Long-Term Services & Supports Eligibility and Quality Review services in the state of Michigan, specifically involving the jurisdictions of Ingham County and the City of Lansing. The worksheet is used to assess and document the tasks and time requirements for home health services, including eating, toileting, bathing, grooming, dressing, transferring, mobility, medications, and meal preparation. The RFP solicits proposals for these eligibility and quality review services, with the statement of work, pricing schedule, vendor worksheet, and other supporting documents provided for respondents.
The RFP is issued by the state of Michigan, with the specific jurisdictions involved being Ingham County and the City of Lansing. No additional details are provided regarding pricing terms, set-asides, incumbents, funding requirements, or other salient information.
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Text version
HOME HELP WORKSHEET
| NAME: | DATE: | |
| REVIEWER: | Log ID# |
| TASK |
| Rank |
| RTS Min/Day |
| Prev Approved Min/Hrs |
| Requested |
Min/Hrs.
Per mo.
Approved Min/Hrs. per mo.
INFORMATION FROM DOCUMENTATION AND/OR INTERVIEW
Eating
Tube Feeding
Toileting
Bowel Prog.
Catheter
Colostomy Care
Bathing
Grooming
| Dressing |
| 3 |
Transferring
Mobility
ROM
SSC
Medications
Suctioning
Meal Prep/cleanup
Shopping/errands
Laundry
Housework
Total hrs.
Diagnoses:
NOTES:
File details come from the government source that posted it. Updated .