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Partnership Home > Resources > Waivers
Waiver Service Requests Process and Form
- Waiver Service Requests Informational Packet #004-09 (Word)
- Attachment 1 Waiver Service Request Form, Office of Developmental Programs (PDF)
- Attachment 2 How to Process and Review Waiver Service Requests (Word)
Consolidated and Person/Family Directed Supports (PFDS) Waiver Service Definitions
New Service Definitions for Consolidated and PFDS Waivers (Changes Effective 7/1/09):
-
Bulletin: 2008-2009 Person/Family Directed Support Waiver Cap effective July 1, 2008
- Service Definitions Bulletin
- Attachment 1, Consolidated Waiver, Person/Family Directed Support (P/FDS) Waiver, Administrative Services, and Base-Funded Services Chart
- Attachment 2, Service Definitions Narrative for Consolidated Waiver, Person/Family Directed Support Waiver, Administrative Services, and Base/Waiver Ineligible Services
- Attachment 3, Home and Community Services Grid
- Updates/Changes in HCSIS to Service Definitions Effective July 1, 2009 (PDF)
- ODP's Webinar on New Service Definitions (Word, 36KB)
- Policy Clarification Letter from ODP, 3-16-2009 (PDF, 47KB)
- Alert: Clarification for Travel Time and the Supported Employment Service Definition (Issued 10-9-2009)
- Office of Developmental Programs Informational Memo #008-09:
Additional Information Related to the Planning, Service Selection, and Individual Support Plan (ISP) Approval Guidelines and the Waiver Service Request Process (PDF) - Letter: Additional Changes to Service Definitions (PDF)
- Announcement: Nursing Prior Authorization Postponed
SSD UPdate Provider Communication (PDF)
ODP's Crosswalk for Comparing Current Service Definitions to New Service Definitions (Excel document, 213KB)
Approved MR Waivers
Consolidated Waiver, 7-1-09 (PDF, 1.23MB)
PFDS Waiver, 7-1-09 (PDF, 1.24MB)
- BULLETIN: Procedures for Service Delivery Preference
- attachment - Home and Community-based or ICF/MR Application and Service Delivery Preference Form
- attachment - Waiver Service Preference
- attachment - ICF/MR Service Preference
- attachment - No Service Delivery Preference
- attachment - Home and Community-based or ICF/MR Application and Service Delivery Preference Form, User Friendly Version
- BULLETIN: Individual Eligibility for Medicaid Waiver Services
- letter - Individual Eligibility for Medicaid Waiver Services
- attachment - attachment 1, ICF/MR Documentation Needed Letter] Individual Eligibility for Medicaid Waiver Services
- attachment - attachment 1a, Form and Instructions for Completing MA-51 Medical Evaluation
- attachment - attachment 2, Certification of Need for ICF/MR Level of Care
- attachment - attachment 3, ICF/MR Documentation Needed-2nd Notice Letter
- attachment - attachment 4, ICF/MR No Documentation Received Letter
- attachment - attachment 5, ICF/MR Meets Requirement Letter
- attachment - attachment 6, ICF/MR Does Not Meet Requirement Letter
- attachment - attachment 7, PA 1768 HCBS Eligibility/Ineligibility/Change Form
- attachment - attachment 8, PA 600 L SG - Medical Assistance (MEDICAID) Financial Eligibility Application for Long Term Care, Supports and Services
- attachment - attachment 9, PA 4 - Authorization for Release of Information
- attachment - attachment 10, ICF/MR Level of Care Retedermination Needed Letter
- attachment - attachment 11, DP 251 - Annual Recertification of Need for ICF/MR Level of Care
- attachment - attachment 12, Re-Determination of ICF/MR Level of Care Meets Requirement Letter
- attachment - attachment 13, Re-Determination of ICF/MR Level of Care Does Not Meet Requirement Letter
- attachment - attachment 14, DP 458 - Fair Hearing Request Form
- attachment - attachment 14a, Legal Services Program Directory
- SCO Exception Letter and Attachments
- Form - Request for Exception to Established Maximum Number of Units for Supports Coordination Services
- Process to Request an Exception to Established Maximum Units for Supports Coordination Services
- Letter - Exception to Established Maximum Number of Units for Supports Coordination Services, August 15, 2008
