Home and Community Based Services Policies and Procedures 525-05
    Home
    Definitions 525-05-05
       Definitions 525-05-05
    Legal Reference/Authority 525-05-10
    Purpose of Home and Community Based Services 525-05-15
    Funding Sources 525-05-20
    Eligibility Criteria 525-05-25
       HCBS Program Eligibility Determination 525-05-25-05
       Medicaid Waiver for Home and Community Based Services 525-05-25-10
       Technology Dependent Medicaid Waiver 525-05-25-12
       Service Payments for the Elderly and Disabled (SPED) 525-05-25-20
       Expanded Service Payments for the Elderly and Disabled Eligibility (ExSPED) 525-05-25-25
       Financial Information for HCBS Programs 525-05-25-30
    Covered Services 525-05-30
       Covered Services 525-05-30
       HCBS Case Management 525-05-30-05
       Adult Day Care 525-05-30-10
       Adult Family Foster Care 525-05-30-15
       Adult Residential Care 525-05-30-16
       Attendant Care Service 525-05-30-18
       Chore Service 525-05-30-20
       Environmental Modification 525-05-30-25
       Extended Personal Care Service 525-05-30-27
       Family Home Care 525-05-30-30
       Family Personal Care 525-05-30-32
       Home Delivered Meals 525-05-30-33
       Homemaker Service 525-05-30-35
       Non-Medical Transportation 525-05-30-40
       Personal Care Service 525-05-30-45
       Respite Care Service 525-05-30-55
       Specialized Equipment and Supplies 525-05-30-60
       Supported Employment Services 525-05-30-65
       Transitional Living 525-05-30-70
    Maximum Monthly Amount - Aggregate and Per Service 525-05-35
    Closures, Denials, Terminations, and Reductions in Services 525-05-40
    Standards for Qualified Service Provider(s) 525-05-45
    Appendix 525-05-60
       Application for Service, SFN 1047 525-05-60-05
       Instructions for Completion of the HCBS Comprehensive Assessment 525-05-60-10
       SPED Program Pool Data, SFN 1820 525-05-60-15
       SPED Income and Assets, SFN 820 525-05-60-20
       SPED Sliding Fee Schedules 525-05-60-25
       Add New Record to MMIS Eligibility File (SPED), SFN 676 525-05-60-30
       Expanded SPED Program Pool. Data, SFN 56 525-05-60-35
       Add New Record to MMIS Eligibility File (ExSPED), SFN 677 525-05-60-40
       Level of Care Determination 525-05-60-45
       Explanation of Client Choice, SFN 1597 525-05-60-50
       CSSB Request for HCBS NF Determination, SFN 1288 525-05-60-55
       Individual Care Plan, SFN 1467 525-05-60-60
       Monthly Rate Worksheet, SFN 1012 525-05-60-65
       Authorization to Provide Service, SFN 1699 525-05-60-70
       HCBS Notice of Reduction, Denial or Termination, SFN 1647 525-05-60-75
       HCBS Case Closure/Transfer Notice, SFN 474 525-05-60-80
       Respite Home Evaluation, SFN 659 525-05-60-85
       Compliance Checklist Adult Day Care Standards, SFN 1703 525-05-60-90
       Request for Attendant Care Services, SFN 944 525-05-60-95
Manual Letters
    Manual Letter Covers
IMs
    Outstanding IM Roster
    Archived IM Roster
Printed Documentation
    Printed Documentation