DSHS Form 10-650 Private Duty Nursing Contract Monitoring Tool - Washington

What Is DSHS Form 10-650?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 10-650?
A: DSHS Form 10-650 is a Private Duty Nursing Contract Monitoring Tool in Washington.

Q: What is the purpose of DSHS Form 10-650?
A: The purpose of DSHS Form 10-650 is to monitor private duty nursing contracts in Washington.

Q: Who is responsible for filling out DSHS Form 10-650?
A: The private duty nursing provider is responsible for filling out DSHS Form 10-650.

Q: What information is required on DSHS Form 10-650?
A: DSHS Form 10-650 requires information such as the client's name, date of birth, Medicaid identification number, service dates, hours of care provided, and the provider's name and address.

Q: How often should DSHS Form 10-650 be completed?
A: DSHS Form 10-650 should be completed on a monthly basis.