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ODP communicates policy and procedure through public documents called "Bulletins." All of ODP's current Bulletins can be found here.

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ODP Bulletins - Complete Listing

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Topic Number Issue Date Title File Type/Size
Aging 00-03-01 02-11-2003 Passage of Act 171 Relating to the Older Adults Protective Services Act (OAPSA) PDF (123KB)
Aging 00-91-17 11-01-1991 Opportunities and Supports for Older Persons with MR PDF (99KB)
Aging 00-91-18 07-31-1991 Joint Statement by the Dept. of Public Welfare and the Dept. of Aging PDF (234KB)
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Children 00-90-03 01-31-1990 Children's Cardiac Program PDF (69KB)
Children 00-90-12 04-09-1990 Childhood Lead Poisoning Prevention Program PDF (215KB)
Children 00-90-14 04-09-1990 Dept. of Health Programs for Young Children PDF (578KB)
Children 00-90-24 09-27-1990 Supplemental Security Income (SSI) Disability Benefits for Children PDF (85KB)
Children 00-93-23 09-15-1993 MA for Children PDF (74KB)
Children 3800-09-01 12-19-2009 Strategies and Practices to Eliminate the Use of Unnecessary Restraints PDF (595KB)
Children 3800-09-02 09-20-2009 Prone Restaints in Children's Facilities PDF (119KB)
Children 4000-91-01 11-22-1991 Services for Children in Foster Family Care Who are Placed Out-of-County PDF (163KB)
Children 99-83-10 03-08-1993 Payment of Residential Placement Costs for MR and Severely Emotionally Disturbed Children in Residential Facilities PDF (69KB)
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Early Intervention 00-04-02 01-02-2004 Procedure Codes for MA EI Services FY 2003-2004 PDF (143KB)
Early Intervention 00-04-04 01-02-2004 Procedure Codes for EI Base Services FY 2003-2004 PDF (147KB)
Early Intervention 00-04-08 05-10-2004 Determining MA Eligibility for Ind. Age 3 and Older Who Apply for Supp. and Serv. Authorized by a County MH/MR Program PDF (128KB)
Early Intervention 00-04-09 05-10-2004 Determining MA Eligibility for Families of Infants and Toddlers Who Apply for Supp. and Serv. Authorized by a County MH/MR Program - OBSOLETE PDF (134KB)
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Guideline/Procedures 00-00-04 05-15-2000 Guidelines for Identifying Persons with MR and Mental Illness for State MH Hospital Discharge PDF (243KB)
Guideline/Procedures 00-03-08 08-13-2003 Procedure Codes for Electronic Transfers of Health Care Services PDF (163KB)
Guideline/Procedures 00-06-09 05-01-2006 Elimination of Restraints through Positive Practices PDF (105KB)
Guideline/Procedures 00-06-09 Cover Letter 05-01-2006 Elimination of Restraints through Positive Practices, Cover Letter PDF (62KB)
Guideline/Procedures 00-06-15 12-22-2006 Prioritization of Urgency of Need for Services(PUNS) Manual, Bulletin PDF (36KB)
Guideline/Procedures 00-06-15 Attachment 1 12-22-2006 Prioritization of Urgency of Need for Services(PUNS) Manual, Document PDF (80KB)
Guideline/Procedures 00-06-15 Attachment 2 12-22-2006 PUNS Disagreement Form PDF (14KB)
Guideline/Procedures 00-08-05 4-10-2008 Due Process and Fair Hearing Procedures for Individuals with Mental Retardation PDF (138KB)
Guideline/Procedures 00-08-05_attch01 4-10-2008 Fair Hearing Request Form Home and Community-Based Waiver Services for Individuals with Mental Retardation PDF (64KB)
Guideline/Procedures 00-08-05_attch01a 4-10-2008 Legal Services Program Directory PDF (90KB)
Guideline/Procedures 00-08-05_attch02 4-10-2008 BHA Agency Appeal Cover Sheet PDF (22KB)
Guideline/Procedures 00-08-05_attch02a 4-10-2008 BHA Agency Appeal Cover Sheet Instructions PDF (41KB)
Guideline/Procedures 00-08-05_attch02b 4-10-2008 ODP Services Appeal Issue Codes PDF (17KB)
Guideline/Procedures 00-08-05_letter 4-10-2008 Due Process and Fair Hearing Procedures for Individuals with Mental Retardation - letter PDF (30KB)
Guideline/Procedures 00-11-10 12-29-2011 Rate Setting Methodology for Consolidated and Person/Family Directed Support Waivers and Base-Funded Services for Individuals Participating in the Office of Developmental Programs Service System from November 15, 2011 through June 30, 2012 PDF (65KB)
Guideline/Procedures 00-11-12 01-17-2011 Adult Autism Waiver FY 2011-2012 Service Rates PDF (60KB)
Guideline/Procedures 00-93-30 12-30-1993 OBRA Procedures for Individuals with MR PDF (801KB)
Guideline/Procedures 00-96-23 12-31-1996 Guidelines Concerning Sexuality PDF (329KB)
Guideline/Procedures 00-98-03 03-27-1998 Guidelines to Supporting people Moving from State Centers into the Community PDF (48KB)
Guideline/Procedures 00-98-03_attch_moving_community - A Guide to Supporting People Moving from State Centers into the Community [attachment to 00-98-03, Guidelines to Supporting People Moving...] PDF (415KB)
Guideline/Procedures 00-98-08 11-30-1998 Procedures for Substitute Health Care Decision Making PDF (207KB)
Guideline/Procedures 199-81-01 09-02-1981 Procedures for Charging and Collecting of Tuition Expenses for School-Age Residents in MR/MH Residential Facilities PDF (96KB)
Guideline/Procedures 6000-11-01 1-27-2011 Procedures for Surrogate Health Care Decision Making PDF (124KB)
Guideline/Procedures 6000-11-01_attch_Act169Definitions 1-27-2011 Procedures for Surrogate Health Care Decision Making [Attachment, Act 169 Definitions] PDF (57KB)
Guideline/Procedures 6000-11-01_attch_Annex_A 1-27-2011 Procedures for Surrogate Health Care Decision Making [Attachment, Annex A] PDF (119KB)
Guideline/Procedures 6000-11-01_letter 1-27-2011 Procedures for Surrogate Health Care Decision Making, Cover Letter PDF (27KB)
Guideline/Procedures 6000-89-01 10-16-1989 Guidelines for Enhancing Quality and Conducting Direct and Independent Assessment PDF (226KB)
Guideline/Procedures 99-81-51 12-01-1981 Policies and Procedures Governing Admissions, Commitments, Transfers and Discharges at State-Operated MR Facilities PDF (307KB)
Guideline/Procedures 99-82-02 02-17-1982 Guidelines for State Center Board of Trustees PDF (38KB)
Guideline/Procedures 99-83-21 08-18-1983 Guidelines for State Center Board of Trustees - Revision PDF (55KB)
Guideline/Procedures 99-84-22 06-13-1984 County Indirect Costs Allocation Plan Guidelines PDF (1022KB)
Guideline/Procedures 99-85-17 08-22-1985 County Indirect Costs Allocation Plan Guidelines Update - Maintenance in Lieu of Rent as a Direct Cost PDF (113KB)
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ICF/MR's & State Centers 00-02-13 08-07-2002 Need for ICF-MR Level of Care PDF (143KB)
ICF/MR's & State Centers 00-03-02 02-19-2003 Site Visits and Access by PP&A PDF (489KB)
ICF/MR's & State Centers 00-04-15 01-28-2005 Alternative Sanction Guidelines for ICF/MR MA Certification PDF (57KB)
ICF/MR's & State Centers 00-05-01 03-08-2005 Issuance of Audit Guide for Non-State Operated for ICF/MR PDF (25KB)
ICF/MR's & State Centers 00-05-04 08-08-2005 Lifesharing Through Family Living PDF (70KB)
ICF/MR's & State Centers 00-06-08 04-05-2006 Employment for Individuals in ICFs/MR PDF (47KB)
ICF/MR's & State Centers 00-06-08 Attachment 04-05-2006 Employment for Individuals in ICFs/MR ATTACHMENT PDF (12KB)
ICF/MR's & State Centers 00-89-03 02-07-1989 New Federal ICF/MR Regulations PDF (220KB)
ICF/MR's & State Centers 00-91-26 10-31-1991 Applicability of OMB Circular A-133 for Non-State Operated ICF/MR's PDF (144KB)
ICF/MR's & State Centers 00-92-22 08-31-1992 Issuance of Audit Guide for Non-State Operated ICF/MR's PDF (37KB)
ICF/MR's & State Centers 00-95-04 03-28-1995 Educational and Vocational Training in ICF/MR's PDF (116KB)
ICF/MR's & State Centers 00-96-07 04-12-1996 Revised ICF/MR Guidelines PDF (4.54MB)
ICF/MR's & State Centers 00-96-20 11-18-1996 Survey Guidelines and Procedures for ICF/MR's PDF (1.34MB)
ICF/MR's & State Centers 42-435-86-01 12-31-1986 Revised Definition of Developmentally Disabled Persons Who Receive Services in ICF/MR's PDF (288KB)
ICF/MR's & State Centers 4398-87-01 02-09-1987 Clarification of Definition of Developmentally Disabled Persons Receiving Services in ICF/MR's PDF (43KB)
ICF/MR's & State Centers 6000-88-02 05-31-1988 Mandatory Child Abuse and Criminal History Clearances PDF (643KB)
ICF/MR's & State Centers 6000-88-08 10-05-1988 Administration and Management of Client Funds PDF (126KB)
ICF/MR's & State Centers 6000-96-01 04-06-1996 Criteria for Approval of New ICF/MR's PDF (77KB)
ICF/MR's & State Centers 99-81-40 09-18-1981 Search of Visitors and Residents at State Centers and MR Units PDF (85KB)
ICF/MR's & State Centers 99-83-05 02-11-1983 Guardianship Petitioning Process at State Centers PDF (33KB)
ICF/MR's & State Centers SC-94-01 12-14-1994 Closure of Admissions of Children to State-Operated ICF/MR's PDF (59KB)
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Incident Management 00-01-05A 03-28-2002 Statements of Policy Incident Management PDF (364KB)
Incident Management 00-01-06 09-06-2001 Announcement of Certified Investigator Training PDF (429KB)
Incident Management 00-04-11 09-16-2004 Certified Investigations PDF (308KB)
Incident Management 00-10-04 6-3-2010 Recording Information on the Target of an Individual to Individual Abuse Incident Report in HCSIS PDF (49KB)
Incident Management 00-10-04_appendix1 6-3-2010 [appendix 1 to 00-10-04] Submitting an Individual to Individual Abuse Incident Report with Target Identifier PDF (299KB)
Incident Management 00-97-02 02-07-1997 Quarterly Liability Summaries: Supplement and Amendment PDF (52KB)
Incident Management 4305-88-01 01-29-1988 Quarterly Liability Summaries PDF (135KB)
Incident Management 6000-04-01 02-18-2004 Incident Management PDF (350KB)
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Legislation 00-03-04 05-13-2003 OBRA Time-Limited Determinations PDF (119KB)
Legislation 00-94-02 02-01-1994 Federal Regulations on Occupational Exposure to Bloodborne Pathogens PDF (1.08MB)
Legislation 00-95-25 12-26-1995 Act 28 of 1995 PDF (180KB)
Legislation 00-97-06 08-29-1997 Act 26 of 1997 (Amending Act 28 of 1995) PDF (198KB)
Legislation 1181-88-08 12-28-1988 OBRA-87 Nursing Home Reform PDF (1.77MB)
Legislation 199-82-01 03-17-1982 Responsibility for Collection of Tuition Expenses Under ACT 199 for Out-of-State Residents PDF (61KB)
Legislation 297-84-42 06-27-1984 Elimination of the PA 162-D Form and Replacing it with the PA/FS 162 Form PDF (146KB)
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Licensing and Monitoring 00-08-10 6-17-2008 Licensing Protocols and Procedures PDF (32KB)
Licensing and Monitoring 00-93-10 05-10-1993 Amendments to Licensing Policy and Proced. Manual PDF (118KB)
Licensing and Monitoring 00-93-31 12-30-1993 Licensing Weighting System for Community Homes for Individuals with MR PDF (782KB)
Licensing and Monitoring 00-93-32 12-30-1993 Licensing Weighting System for Family Living Homes PDF (615KB)
Licensing and Monitoring 00-95-13 07-11-1995 Licensing Weighting System for Adult Training Facilities PDF (681KB)
Licensing and Monitoring 00-95-15 08-15-1995 Licensing Inspection Instrument for Family Living Homes Regulations PDF (47KB)
Licensing and Monitoring 00-95-16 08-15-1995 Licensing Inspection Instrument for Community Homes Regulations PDF (56KB)
Licensing and Monitoring 00-95-17 08-15-1995 Licensing Inspection Instrument for Adult Training Facilities Regulations PDF (53KB)
Licensing and Monitoring 00-95-18 08-15-1995 Licensing Inspection Instrument for Vocational Facilities Regulations PDF (47KB)
Licensing and Monitoring 2390-90-01 01-31-1990 Licensing Indicator System for the Vocational Facilities Regulations PDF (820KB)
Licensing and Monitoring 6400-13-01 01-14-2013 Clarifying the applicability of Chapter 6400 to private homes - statement of policy PDF (141KB)
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Medical Assistance 00-03-11 11-25-2003 MA for Workers with Disabilties in the Community MR Program PDF (133KB)
Medical Assistance OMHSAS-00-02 07-10-2000 Cost Settlement Policy and Procedures for Community-Based Medicaid Initiatives PDF (524KB)
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MH/MR 00-02-09 07-11-2002 Pro Re Nata Medication Usage for Psychiat. Treatment - Clarification of Interpretation PDF (137KB)
MH/MR 00-02-16 12-17-2002 Psychiatric Consultation Question. for Persons with DD PDF (222KB)
MH/MR OMH-91-13 10-21-1991 MH/MR Annual Income and Expenditure Reports Certification and Appeal Process PDF (64KB)
MH/MR OMH-94-10 06-24-1994 Account Structure Manual - Revised Cost Centers for County MH/MR Programs PDF (370KB)
MH/MR OMHSAS-99-05 06-18-1999 Maximum Rates of State Participation for the County MH/MR Programs PDF (103KB)
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Miscellaneous 00-02-06 04-12-2002 Revision of the Definition of Conflict-Free Providers for Targeted Service Management PDF (262KB)
Miscellaneous 00-03-05 06-13-2003 Principles for the MR System PDF (160KB)
Miscellaneous 00-03-07 08-12-2003 Medication Administration Training Program PDF (141KB)
Miscellaneous 00-03-10 10-21-2003 Payments for Psychological Testing to Diagnose MR in Children and Adults PDF (274KB)
Miscellaneous 00-04-05 01-09-2004 Positive Approaches PDF (200KB)
Miscellaneous 00-04-06 02-06-2004 Revised Cost Centers PDF (399KB)
Miscellaneous 00-04-13 01-21-2005 Limited English Proficiency (LEP) PDF (72KB)
Miscellaneous 00-05-07 12-20-2005 OMR Policy on Employment PDF (63KB)
Miscellaneous 00-07-04Micro_Cover_Lettr 07-02-2007 Microboards Cover Letter PDF (21KB)
Miscellaneous 00-07-04MicroLtr 09-14-2007 Microboards Letter - Responsibilities of AEs PDF (21KB)
Miscellaneous 00-08-15 2-13-2009 Disability Rights Network Access to Records and Joint Investigations PDF (66KB)
Miscellaneous 00-08-15_attch01_DDAssist_Bill_Rights 2-13-2009 [Attachment 1, Disability Rights Network Access to Records and Joint Investigations]: The Developmental Disabilities Assistance and Bill of Rights Act of 2000 PDF (29KB)
Miscellaneous 00-08-16 1-20-2009 Clarification of Payment Source for Representative Payee Function PDF (44KB)
Miscellaneous 00-10-02 3-22-2010 Quality Management Strategy of the Office of Developmental Programs PDF (90KB)
Miscellaneous 00-10-02_QMS_Attachment_A1 3-22-2010 [Attachment A, Principles for the Mental Retardation System] Quality Management Strategy of the Office of Developmental Programs PDF (222KB)
Miscellaneous 00-10-02_QMS_Attachment_B1 3-22-2010 [Attachment B, Bureau of Autism Services Values] Quality Management Strategy of the Office of Developmental Programs PDF (53KB)
Miscellaneous 00-10-02_QMS_Attachment_C1 3-22-2010 [Attachment C, HCBS Quality Framework] Quality Management Strategy of the Office of Developmental Programs PDF (370KB)
Miscellaneous 00-86-14 12-08-1986 Choking Prevention and Management PDF (135KB)
Miscellaneous 00-87-18 11-19-1987 State Employees Acting in Voluntary Capacity to Control Client Funds PDF (34KB)
Miscellaneous 00-88-09 08-09-1988 Applicability of Appropriate Life Safety Codes PDF (100KB)
Miscellaneous 00-89-18 11-01-1989 Lekotek PDF (57KB)
Miscellaneous 00-93-02 02-24-1993 Supporting People in the Community PDF (237KB)
Miscellaneous 00-94-11 03-01-1994 Facilitated Communication PDF (201KB)
Miscellaneous 00-94-14 04-20-1994 Targeted Service Management and Third Party Liability PDF (64KB)
Miscellaneous 00-94-15 04-20-1994 Targeted Service Management Technical Assist. Packet PDF (1.24MB)
Miscellaneous 00-94-23 08-15-1994 Targeted Services Management and 180-day Invoice Exceptions PDF (119KB)
Miscellaneous 00-94-31 11-14-1994 Payment for Sign Language Interpreters PDF (55KB)
Miscellaneous 00-94-32 12-06-1994 Assessments: Lifetime Medical History PDF (256KB)
Miscellaneous 00-94-34 12-30-1994 Facilitated Communication - Best Practices and Guidelines PDF (486KB)
Miscellaneous 00-96-13 09-18-1996 Claiming Federal Reimbursement for Targeted Service Management Administration Costs PDF (176KB)
Miscellaneous 00-96-18 10-30-1996 Additions to TSM Handbook and Technical Assistance Packet PDF (616KB)
Miscellaneous 00-96-19 11-08-1996 Regulation Interpretation Unobstructed Egress PDF (68KB)
Miscellaneous 00-96-21 11-19-1996 Regulation Interpretation Family Living Medication Administration Training PDF (36KB)
Miscellaneous 00-97-04 03-17-1997 OMR Statewide Peer Review Committee PDF (198KB)
Miscellaneous 1101-89-01 11-04-1988 Copayment Exemption for Targeted Case Management Services PDF (58KB)
Miscellaneous 3490-08-03 6-27-2008 Implementation of Act 179 of 2006 and Act 73 of 2007 Amending the Child Protective Services Law PDF (1.71MB)
Miscellaneous 4300-07-05 08-17-2007 AE and Provider Contracts PDF (36KB)
Miscellaneous 6000-90-06 12-26-1990 Policy on Employment for Persons with MR PDF (215KB)
Miscellaneous 6200-09-05 07-10-2009 Social Security Economic Recovery One-Time Payment PDF (34KB)
Miscellaneous 6200-09-05_annexA -2009 [attachment to 6200-09-05] 6200.3a. Social Security Economic Recovery One-Time Payment Statement of Policy. PDF (10KB)
Miscellaneous 99-82-39 08-20-1982 New Vecchione Petition Forms PDF (180KB)
Miscellaneous 99-82-47 01-16-1983 Monitoring the Guardianship Petitioning Process at PDF (530KB)
Miscellaneous 99-83-03 01-16-1983 Creation of Base Service Units and Catchment Areas PDF (52KB)
Miscellaneous 99-84-20 12-27-1984 Community Residential Program Slot and Funding Adjustments PDF (67KB)
Miscellaneous OMH-95-07 04-03-1995 Educational Portions of "Non-Educational" Residential Placements PDF (297KB)
Miscellaneous OMHSAS-99-10 11-02-1999 Sanctions Policy for Noncompliance with MH/MR Income & Expenditure, Consolidated Waiver, and Cost Settlement Reporting Requirements PDF (96KB)
Miscellaneous SC-89-01 03-01-1989 Cardiopulmonary Resuscitation and Relief of Upper Airway Obstruction PDF (40KB)
Miscellaneous SC-92-01 09-28-1992 Agreement Between the OMR Office and PP&A PDF (116KB)
Miscellaneous SMH-93-03 06-15-1993 Tuberculosis Surveillance and Management PDF (35KB)
Miscellaneous SMH-93-04 07-09-1993 Immunization of Patients/Residents and Employees PDF (38KB)
Miscellaneous SMH-96-01 08-09-1996 Tuberculosis Infection Control Program PDF (1.69MB)
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Support and Services 00-00-05 05-23-2000 Domiciliary Care for Persons with MR PDF (190KB)
Support and Services 00-02-16 - Coordination of Treatment and Support for People with a Dual Diagnosis, Questionnaire PDF (71KB)
Support and Services 00-06-10 05-10-2006 Payment for Sign Language Interpreters and/or Transliterators PDF (46KB)
Support and Services 00-08-08 04-28-2008 Agency With Choice Financial Management Services (AWC FMS) PDF (194KB)
Support and Services 00-08-08_letter 04-28-2008 Agency With Choice Financial Management Services (AWC FMS) (Cover Letter) PDF (33KB)
Support and Services 00-08-14 08-13-2008 Vendor Fiscal/Employer Agent Financial Management Services (VF/EA FMS) PDF (154KB)
Support and Services 00-08-14_letter 04-28-2008 Vendor Fiscal/Employer Agent Financial Management Services (VF/EA FMS), cover letter PDF (30KB)
Support and Services 00-08-18 01-20-2009 Communication Supports and Services PDF (67KB)
Support and Services 00-09-09 11-20-2009 Vendor Fiscal/Employer Agent Financial Management Services Wage Ranges PDF (32KB)
Support and Services 00-12-05 10-9-2012 Individual Support Plans (ISPs) PDF (302KB)
Support and Services 00-12-05_ISP_Manual October-2012 Individual Support Plan (ISP) Manual PDF (658KB)
Support and Services 00-12-05_ISP_Signature_Form_DP1032 -2012 Individual Support Plan Signature Page DP 1032 PDF (525KB)
Support and Services 00-12-05_Waiver_Service_Request_Form_DP1022 October-2012 Office of Developmental Programs Waiver Service Request Form DP 1022 PDF (379KB)
Support and Services 00-92-03 01-16-1992 Special Innovative Services Expenditures Under Family Support Services PDF (115KB)
Support and Services 00-93-29 11-09-1993 Providing Services to Person with Autism/PDD PDF (109KB)
Support and Services 00-94-12 03-10-1994 Community Resource Development in Family Support Services Projects PDF (142KB)
Support and Services 080227_letter 02-21-2008 Provision of Respite Funded Under the Person/Family Directed Support and Consolidated Waivers PDF (93KB)
Support and Services 297-84-43 06-27-1984 Personal Care Boarding Home Supplement PDF (318KB)
Support and Services 4210-02-05 05-31-2002 Clarifying Eligibility for MR Services and Supports PDF (217KB)
Support and Services 4305-87-02 05-21-1987 Client Liability - Community MH/MR Services PDF (544KB)
Support and Services 6000-90-01 12-12-1990 Family-Driven Family Support Services PDF (84KB)
Support and Services 6000-90-02 12-12-1990 Support for Independent Living PDF (63KB)
Support and Services 6000-90-05 12-18-1990 Therapy and Other Specialized Services PDF (166KB)
Support and Services 99-83-24 10-14-1983 DPW Policy on Support Services for Persons with MR and Their Families PDF (98KB)
Support and Services 99-84-21 12-27-1984 Supplement & Amendment to the DPW Policy on Support Services for Persons with MR & Their Families PDF (70KB)
Support and Services II-30-82-02 12-31-1982 Personal Care Boarding Home Resident Assessment Summary PDF (207KB)
Support and Services SC-89-02 08-25-1989 Care and Services Policy for State Centers and MR Units PDF (182KB)
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Waivers 00-04-03 01-02-2004 Procedure Codes for EI Waiver Services FY 2003-2004 PDF (119KB)
Waivers 00-05-03 07-05-2005 Services Requiring Third Party Insurance Review Prior to Consideration of Waiver Payment PDF (96KB)
Waivers 00-05-03_Third_Party_Ins 04-27-2005 Third Party Insurance Denial Clarification Letter PDF (35KB)
Waivers 00-06-01 01-03-2006 Home & Community Based Service Eligibility/Ineligibility/Change Form PDF (41KB)
Waivers 00-06-13 09-07-2006 Service Review Protocol for Individuals in the Consolidated and Person Family Directed Support Waivers PDF (71KB)
Waivers 00-07-01 4-26-2007 Provider Billing Documentation Requirements for Waiver Services PDF (38KB)
Waivers 00-07-02 4-26-2007 Overview of the SIS and the PA Plus PDF (38KB)
Waivers 00-07-02 Attachment 1 4-26-2007 What SIS and PA Plus Are and Aren't for the MR System PDF (18KB)
Waivers 00-08-03 01-30-2008 Procedures for Service Delivery Preference PDF (64KB)
Waivers 00-08-03ApplicationPreferenceFormDP457 01-2008 Home and Community-based or ICF/MR Application and Service Delivery Preference Form PDF (47KB)
Waivers 00-08-03attch1WaiverSvcPref 01-2008 Waiver Service Preference - Attachment PDF (25KB)
Waivers 00-08-03attch2ICFMRSvcPref 01-2008 ICF/MR Service Preference - Attachment PDF (26KB)
Waivers 00-08-03attch3noSvcDelivPref 01-2008 No Service Delivery Preference - Attachment PDF (13KB)
Waivers 00-08-03DP457-UF 01-2008 Home and Community-based or ICF/MR Application and Service Delivery Preference Form, User Friendly Version PDF (521KB)
Waivers 00-08-04 05-2008 Individual Eligibility for Medicaid Waiver Services PDF (152KB)
Waivers 00-08-04_attch01_icfmr_documentation_needed 05-2008 [attachment 1, ICF/MR Documentation Needed Letter] Individual Eligibility for Medicaid Waiver Services PDF (67KB)
Waivers 00-08-04_attch01a_ma51 05-2008 [attachment 1a, Form and Instructions for Completing MA-51 Medical Evaluation] Individual Eligibility for Medicaid Waiver Services PDF (450KB)
Waivers 00-08-04_attch02_dp250_cert_of_need 05-2008 [attachment 2, Certification of Need for ICF/MR Level of Care] Individual Eligibility for Medicaid Waiver Services PDF (48KB)
Waivers 00-08-04_attch03_icfmr_documentation_2nd 05-2008 [attachment 3, ICF/MR Documentation Needed-2nd Notice Letter] Individual Eligibility for Medicaid Waiver Services PDF (67KB)
Waivers 00-08-04_attch04_icfmr_no_documentation 05-2008 [attachment 4, ICF/MR No Documentation Received Letter] Individual Eligibility for Medicaid Waiver Services PDF (13KB)
Waivers 00-08-04_attch05_icfmr_meets_requirements 05-2008 [attachment 5, ICF/MR Meets Requirement Letter] Individual Eligibility for Medicaid Waiver Services PDF (15KB)
Waivers 00-08-04_attch06_icfmr_notmeet_requirements 05-2008 [attachment 6, ICF/MR Does Not Meet Requirement Letter] Individual Eligibility for Medicaid Waiver Services PDF (17KB)
Waivers 00-08-04_attch07_pa1768_hcbs_change 05-2008 [attachment 7, PA 1768 HCBS Eligibility/Ineligibility/Change Form] Individual Eligibility for Medicaid Waiver Services PDF (89KB)
Waivers 00-08-04_attch08_pa600LSG_medicaid_elig 05-2008 [attachment 8, PA 600 L SG - Medical Assistance (MEDICAID) Financial Eligibility Application for Long Term Care, Supports and Services] Individual Eligibility for Medicaid Waiver Services PDF (83KB)
Waivers 00-08-04_attch09_pa4_release 05-2008 [attachment 9, PA 4 - Authorization for Release of Information] Individual Eligibility for Medicaid Waiver Services PDF (421KB)
Waivers 00-08-04_attch10_icfmr_redetermination 05-2008 [attachment 10, ICF/MR Level of Care Retedermination Needed Letter] Individual Eligibility for Medicaid Waiver Services PDF (17KB)
Waivers 00-08-04_attch11_dp251_icfmr_recertification 05-2008 [attachment 11, DP 251 - Annual Recertification of Need for ICF/MR Level of Care] Individual Eligibility for Medicaid Waiver Services PDF (49KB)
Waivers 00-08-04_attch12_icfmr_redetermination_meets 05-2008 [attachment 12, Re-Determination of ICF/MR Level of Care Meets Requirement Letter] Individual Eligibility for Medicaid Waiver Services PDF (13KB)
Waivers 00-08-04_attch13_icfmr_redetermination_notmeet 05-2008 [attachment 13, Re-Determination of ICF/MR Level of Care Does Not Meet Requirement Letter] Individual Eligibility for Medicaid Waiver Services PDF (18KB)
Waivers 00-08-04_attch14_dp458_fair_hearing 05-2008 [attachment 14, DP 458 - Fair Hearing Request Form] Individual Eligibility for Medicaid Waiver Services PDF (64KB)
Waivers 00-08-04_attch14a_legal_services 05-2008 [attachment 14a, Legal Services Program Directory] Individual Eligibility for Medicaid Waiver Services PDF (90KB)
Waivers 00-08-04_letter 05-2008 [letter] Individual Eligibility for Medicaid Waiver Services PDF (312KB)
Waivers 00-08-11 7-28-2008 Supports Intensity Scale (SIS) and PA Plus Users Manual PDF (52KB)
Waivers 00-08-11_letter 7-28-2008 Supports Intensity Scale (SIS) and PA Plus Users Manual, cover letter PDF (32KB)
Waivers 00-08-11_SISmanual 7-28-2008 Supports Intensity Scale (SIS) and PA Plus Users Manual PDF (84KB)
Waivers 00-10-09 5-26-2010 Prior Authorization for Supplemental Habilitation and Additional Individualized Staffing PDF (38KB)
Waivers 00-11-07 11-28-2011 Bed Reservation (Therapeutic/Medical Leave) and Permanent Vacancy Payment Policy PDF (417KB)
Waivers 00-89-19 10-25-1989 CRF Reporting - Revised Procedures for 2176 Waiver Recipients PDF (205KB)
Waivers 00-95-23 11-28-1995 Coordination of Vocational Training and Supported Employment Under the 2176 Waiver PDF (178KB)
Waivers 00-98-04 04-07-1998 Waiver Funding for Prevocational, Supported Employment and Educational Services PDF (71KB)
Waivers 6000-96-02 04-15-1996 Procedures for Funding Reserved Hospital and Leave Days Under 2176 Waiver PDF (95KB)
Waivers 99-87-15 09-25-1987 Documentation Requirements - Waiver Requests for Increases for Workers' Compensation Costs PDF (76KB)
Waivers Attachment to 00-06-01 08-2005 Home & Community Based Service Eligibility/Ineligibility/Change Form (PA 1768) and Instructions PDF (31KB)
Waivers InfantToddlerFamilyWaiverApp 07-01-2006 Infants, Toddlers and Families Waiver Application DOC (2.11MB)
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