Definitions 525-05-05

January 1, 2009 - June 30, 2011 - 525-05-05

June 1, 2008 - December 31, 2008 - 525-05-05

August 1, 2007 - May 31, 2008 - 525-05-05

April 1, 2007 - July 31, 2007 - 525-05-05

January 1, 2007 - March 31, 2007 - 525-05-05

May 1, 2006 - December 31, 2006 - 525-05-05

 

 

Legal Reference/Authority 525-05-10

January 1, 2007 - March 31, 2007 - 525-05-10

May 1, 2006 - December 31, 2006 - 525-05-10

 

 

Purpose of Home and Community Based Services 525-05-15

May 1, 2006 - December 31, 2006 - 525-05-15

 

 

Funding Sources 525-05-20

May 1, 2006 - May 31, 2008 - 525-05-20

 

HCBS Program Eligibility Determination 525-05-25-05

May 1, 2006 - December 31, 2006 - 525-05-25-05

 

 

Medicaid Waiver for Home and Community Based Services 525-05-25-10

July 1, 2011 - September 15, 2011 - 525-05-25-10

January 1, 2009 - June 30, 2011 - 525-05-25-10

August 1, 2007 - December 31, 2009 - 525-05-25-10

April 1, 2007 - July 31, 2007 - 525-05-25-10

January 1, 2007 - March 31, 2007 - 525-05-25-10

May 1, 2006 - December 31, 2006 - 525-05-25-10

 

 

Technology Dependent Medicaid Waiver 525-05-25-12

There are no archives for this section.

 

 

Medicaid Waiver for the Traumatic Brain Injured 525-05-25-15

REPEALED January 1, 2007 ML3057

July 1, 2006 - December 31, 2006 - 525-05-25-15

May 1, 2006 - June 30, 2006 - 525-05-25-15

 

 

Service Payments for the Elderly and Disabled (SPED) 525-05-25-20

April 1, 2007 - December 31, 2008 - 525-05-25-20

January 1, 2007 - March 31, 2007 - 525-05-25-20

May 1, 2006 - December 31, 2006 - 525-05-25-20

 

 

Expanded Service Payments for the Elderly and Disabled Eligibility (ExSPED) 525-05-25-25

December 1, 2010 - June 30, 2011 - 525-05-25-25

May 1, 2006 - November 30, 2010 - 525-05-25-25

 

 

Financial Information for HCBS Programs 525-05-25-30

There are no archives for this section.

 

 

Covered Services 525-05-30

There are no archives for this section.

 

 

HCBS Case Management 525-05-30-05

July 1, 2011 - September 15, 2011 - 525-05-30-05

December 1, 2010 - June 30, 2011 - 525-05-30-05

January 1, 2010 - November 30, 2010 - 525-05-30-05

July 1, 2009 - December 31, 2009 - 525-05-30-05

January 1, 2009 - June 30, 2009 - 525-05-30-05

June 1, 2008 - December 31, 2008 - 525-05-30-05

August 1, 2007 - May 31, 2008 - 525-05-30-05

April 1, 2007 - July 31, 2007 - 525-05-30-05

January 1, 2007 - March 31, 2007 - 525-05-30-05

July 1, 2006 - December 31, 2006 - 525-05-30-05

May 1, 2006 - June 30, 2006 - 525-05-30-05

 

 

Adult Day Care 525-05-30-10

August 1, 2007 - June 30, 2009 - 525-05-30-05

April 1, 2007 - July 31, 2007 - 525-05-30-05

January 1, 2007 - March 31, 2007 - 525-05-30-05

May 1, 2006 - December 31, 2006 - 525-05-30-05

 

 

Adult Family Foster Care 525-05-30-15

January 1, 2009 - June 30, 2009 - 525-05-30-15

April 1, 2007 - December 31, 2008 - 525-05-30-15

January 1, 2007 - March 31, 2007 - 525-05-30-15

May 1, 2006 - December 31, 2006 - 525-05-30-15

 

 

Adult Residential Care 525-05-30-16

(was Residential Care 525-05-30-50)

April 1, 2007 - November 30, 2010 - 525-05-30-16

 

 

Attendant Care Service 525-05-30-18

April 1, 2007 - May 31, 2007 - 525-05-30-18

 

 

Chore Service 525-05-30-20

April 1, 2007 - December 31, 2008 - 525-05-30-20

January 1, 2007 - March 31, 2007 - 525-05-30-20

May 1, 2006 - December 31, 2006 - 525-05-30-20

 

 

Environmental Modification 525-05-30-25

January 1, 2009 - November 30, 2010 - 525-05-30-25

August 1, 2007 - December 31, 2008 - 525-05-30-25

April 1, 2007 - July 31, 2007 - 525-05-30-25

January 1, 2007 - March 31, 2007 - 525-05-30-25

May 1, 2006 - December 31, 2006 - 525-05-30-25

 

 

Extended Personal Care Service 525-05-30-27

There are no archives for this section.

 

 

Family Home Care 525-05-30-30

January 1, 2009 - June 30, 2009 - 525-05-30-30

June 1, 2008 - December 31, 2008 - 525-05-30-30

April 1, 2007 - May 31, 2008 - 525-05-30-30

January 1, 2007 - March 31, 2007 - 525-05-30-30

May 1, 2006 - December 31, 2006 - 525-05-30-30

 

 

Family Personal Care 525-05-30-32

June 1, 2008 - December 31, 2008 - 525-05-30-32

 

 

Home Delivered Meals 525-05-30-33

June 1, 2008 - December 31, 2009 - 525-05-30-33

 

 

Homemaker Service 525-05-30-35

July 1, 2009 - November 30, 2010 - 525-05-30-35

January 1, 2007 - June 30, 2009 - 525-05-30-35

May 1, 2006 - December 31, 2006 - 525-05-30-35

 

 

Non-Medical Transportation 525-05-30-40

January 1, 2010 - November 30, 2010 - 525-05-30-40

April 1, 2007 - December 31, 2009 - 525-05-30-40

April 1, 2007 - June 30, 2009 - 525-05-30-40

January 1, 2007 - March 31, 2007 - 525-05-30-40

May 1, 2006 - December 31, 2006 - 525-05-30-40

 

 

Personal Care Service 525-05-30-45

May 1, 2006 - November 31, 2010 - 525-05-30-50

 

 

Residential Services 525-05-30-50

REPEALED April 1, 2007 ML 3077 - replaced with new number, 525-05-30-16

January 1, 2007 - March 31, 2007 - 525-05-30-50

May 1, 2006 - December 31, 2006 - 525-05-30-50

 

 

Respite Care Service 525-05-30-55

July 1, 2009 - December 31, 2009 - 525-05-30-55

April 1, 2007 - June 30, 2009 - 525-05-30-55

January 1, 2007 - March 31, 2007 - 525-05-30-55

May 1, 2006 - December 31, 2006 - 525-05-30-55

 

 

Specialized Equipment and Supplies 525-05-30-60

April 1, 2007 - July 31, 2007 - 525-05-30-60

January 1, 2007 - March 31, 2007 - 525-05-30-60

May 1, 2006 - December 31, 2006 - 525-05-30-60

 

 

Supported Employment Services 525-05-30-65

April 1, 2007 - July 31, 2007 - 525-05-30-65

January 1, 2007 - March 31, 2007 - 525-05-30-65

May 1, 2006 - December 31, 2006 - 525-05-30-65

 

 

Transitional Living 525-05-30-70

August 1, 2007 - November 30, 2010 - 525-05-30-70

April 1, 2007 - July 31, 2007 - 525-05-30-70

January 1, 2007 - March 31, 2007 - 525-05-30-70

May 1, 2006 - December 31, 2006 - 525-05-30-70

 

 

Maximum Monthly Amount - Aggregate and Per Service 525-05-35

December 1, 2010 - June 30, 2011 - 525-05-35

January 1, 2010 - November 30, 2010 - 525-05-35

July 1, 2009 - December 31, 2009 - 525-05-35

January 1, 2009 - June 30, 2009 - 525-05-35

June 1, 2008 - December 31, 2008 - 525-05-35

August 1, 2007 - May 31, 2008 - 525-05-35

April 1, 2007 - July 31, 2007 - 525-05-35

January 1, 2007 - March 31, 2007 - 525-05-35

July 1, 2006 - December 31, 2006 - 525-05-35

May 1, 2006 - June 30, 2006 - 525-05-35

 

 

Closures, Denials, Terminations, and Reductions in Services 525-05-40

August 1, 2007 - December 31, 2009 - 525-05-40

April 1, 2007 - July 31, 2007 - 525-05-40

May 1, 2006 - March 31, 2007 - 525-05-40

 

 

Standards for Qualified Service Provider 525-05-45

January 1, 2007 - May 31, 2008 - 525-05-45

May 1, 2006 - December 31, 2006 - 525-05-45

 

 

Application for Service, SFN 1047 525-05-60-05

May 1, 2006 - December 31, 2006 - 525-05-60-05

 

 

Instructions for the Completion of the HCBS Comprehensive Assessment 525-05-60-10

August 1, 2007 - June 30, 2009 - 525-05-60-10

May 1, 2006 - July 31, 2007 - 525-05-60-10

 

 

SPED Program Pool Data SFN 1820 525-05-60-15

There are no archives for this section.

 

 

SPED Income and Assets SFN 820 525-05-60-20

July 1, 2009 - December 31, 2009 - 525-05-60-20

January 1, 2009 - June 30, 2009 - 525-05-60-20

August 1, 2007 - December 31, 2008 - 525-05-60-20

January 1, 2007 - July 31, 2007 - 525-05-60-20

May 1, 2006 - December 31, 2006 - 525-05-60-20

 

 

SPED Sliding Fee Schedules 525-05-60-25

May 1, 2006 - June 30, 2009 - 525-05-60-25

 

 

Add New Record to MMIS Eligibility File for SPED SFN 676 525-05-60-30

June 1, 2008 - June 30, 2011 - 525-05-60-30

August 1, 2007 - May 31, 2008 - 525-05-60-30

January 1, 2007 - July 31, 2007 - 525-05-60-30

May 1, 2006 - December 31, 2006 - 525-05-60-30

 

 

Expanded SPED Program Pool Data SFN 56 525-05-60-35

There are no archives for this section.

 

 

Add New Record to MMIS Eligibility File for Expanded SPED SFN 677 525-05-60-40

May 1, 2006 - June 30, 2011 - 525-05-60-40

 

 

Level of Care Determination 525-05-60-45

May 1, 2006 - December 31, 2008 - 525-05-60-45

 

 

Explanation of Client Choice, SFN 1597 525-05-60-50

January 1, 2007 - July 31, 2007 - 525-05-60-50

May 1, 2006 - December 31, 2006 - 525-05-60-50

 

 

CSSB Request for HCBS NF Determination, SFN 1288 525-05-60-55

January 1, 2007 - December 31, 2008 - 525-05-60-55

July 1, 2006 - December 31, 2006 - 525-05-60-55

May 1, 2006 - June 30, 2006 - 525-05-60-55

 

 

Individual Care Plan, SFN 1467 525-05-60-60

July 1, 2009 - September 15, 2011 - 525-05-60-60

June 1, 2008 - June 30, 2009 - 525-05-60-60

April 1, 2007 - May 31, 2008 - 525-05-60-60

January 1, 2007 - March 31, 2007 - 525-05-60-60

May 1, 2006 - December 31, 2006 - 525-05-60-60

 

 

Monthly Rate Worksheet - Live-in Care, SFN 1012 525-05-60-65

July 1, 2009 - December 31, 2009 - 525-05-60-65

June 1, 2008 - June 30, 2009 - 525-05-60-65

May 1, 2006 - May 31, 2008 - 525-05-60-65

 

 

Authorization to Provide Service, SFN 1699 525-05-60-70

January 1, 2010 - November 30, 2010 - 525-05-60-70

May 1, 2006 - December 31, 2008 - 525-05-60-70

 

 

HCBS Notice of Reduction, Denial or Termination, SFN 1647 525-05-60-75

August 1, 2007 - December 31, 2008 - 525-05-60-75

April 1, 2007 - July 31, 2007 - 525-05-60-75

January 1, 2007 - March 31, 2007 - 525-05-60-75

May 1, 2006 - December 31, 2006 - 525-05-60-75

 

 

HCBS Case Closure/Transfer Notice, SFN 474 52505-60-80

There are no archives for this section.

 

 

Respite Home Evaluation Form, SFN 659 525-05-60-85

May 1, 2006 - June 30, 2006 - 525-05-60-85

 

 

Compliance Checklist Adult Day Care Standards, SFN 1703 525-05-60-90

There are no archives for this section.

 

 

Request for Attendant Care Services, SFN 944 - 525-05-60-95

There are no archives for this section.