Individual Acknowledgement / Care Coordination Attestation / Signatures - North Dakota

Individual Acknowledgement/Care Coordination Attestation/Signatures is a legal document that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota.

FAQ

Q: What is an Individual Acknowledgement/Care Coordination Attestation/Signature in North Dakota?
A: It is a form that acknowledges the individual's understanding and agreement to participate in care coordination services.

Q: When is an Individual Acknowledgement/Care Coordination Attestation/Signature required in North Dakota?
A: It is required when an individual receives care coordination services.

Q: What does the Individual Acknowledgement/Care Coordination Attestation/Signature signify?
A: It signifies that the individual understands the purpose and benefits of care coordination and agrees to actively participate in the process.

Q: Who is required to sign the Individual Acknowledgement/Care Coordination Attestation/Signature?
A: Both the individual receiving care coordination services and the care coordinator providing the services are required to sign the form.

Q: How long is the Individual Acknowledgement/Care Coordination Attestation/Signature valid?
A: The form is valid for the duration of the individual's participation in care coordination services.

Q: Can the Individual Acknowledgement/Care Coordination Attestation/Signature form be revoked or modified?
A: Yes, the form can be revoked or modified if both the individual and the care coordinator agree to the changes.

Q: What happens if an individual refuses to sign the Individual Acknowledgement/Care Coordination Attestation/Signature?
A: The individual may be denied access to care coordination services if they refuse to sign the form.