Data Elements 650-50-85-05

(Revised 10/17/2018 ML #3540)

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A standardized profile shall be developed for each organization that is a part of the local community service delivery system or other geographic area covered by I & R service.

 

A profile shall be developed on each organization and agency that shall include but is not limited to:

1. A legal name, common name, or acronym
2. Telephone number
3. Hours and days of service
4. The service provided
5. The eligibility requirements and intake procedures
6. The area served
7. The branch offices
8. Accessibility (i.e. Assist and Barriers for example: TTY/TTD number, languages spoken, make home visits for intake, provide transportation for intake, does not provide assistance in completing forms, not located on a bus route) and restrictions on facility use
9. Fee structure
10. Website address and general e-mail address