Step 2 Assessment SA Input
The assessment is an important part of the waiver process which involves an onsite visit at which time we are evaluating if the services we offer fit the needs of the client. During the assessment we are also gathering the information we will need to complete an estimate of costs and a plan of action to complete the actual services. The assessment is just that, an assessment and no cleaning services are performed during the assessment. Case managers do not need to attend the assessment.
In order to fill out this step, step 2, you must have already completed the registration process in step 1 and have been assigned a job ID number by Scene Clean. The assessment will need units approved as described below. Units are billed under chore services S5120.
Assessment Tiers and Units needed;
Tier 1 is 39 units; Anoka, Hennepin and Ramsey Counties
Tier 2 is 52 units; Carver, Dakota, Scott, Sherburne, Washington, Wright Counties
Tier 3 is 66 units; Benton, Chisago, Goodhue, Isanti, Kanabec, Meeker, Mille Lacs, Pine, Rice, Stearns Counties
With all service agreements please be sure to have a range of dates approved to accommodate any unforeseen scheduling issues.
Assessments are scheduled Mondays from 9am-4pm and Fridays from 9am-2pm in 1 hour arrival windows.
Prior to filling out this form it may be helpful to have dates and times the client is available as the assessment can now be scheduled online after submission of step 2.
DO NOT HIT THE BACK BUTTON UPON SUBMISSION, You will be taken to a confirmation page. If you do not go to a confirmation page your submission did not go through and you will need to re-submit.