Specific Provider Editable Mandatory – – Estimated Start Date Editable Mandatory – – Comparable Benefits Text Mandatory – – How Service Obtained Text Mandatory – – SAVE CONTINUE Goal Details Summary of Goal Details See Descriptions Above – VIEW DETAILS Create OVR Plan Details Summary of Case/Plan/Goal/Service Details Change Case Status Code Enter Signatures Wet Signature
Specific Provider – Editable – Mandatory Estimated Start Date – Editable – Mandatory Comparable Benefits – Text – Mandatory How Service Obtained – Text – Mandatory SAVE CONTINUE Goal Details Summary of Goal Details – See Descriptions Above VIEW DETAILS Create OVR Plan Details Summary of Case/Plan/Goal/Service Details Change Case Status Code Enter Signatures Wet Signature
PENN1-13.docx