Policies & Procedures

Click on a section title below to find related policies

Human Resources
Policy # Policy Effective Summary of Revisions
10.1.2 Background Checks
For Department Of Intellectual And Developmental Disabilities Employees, Contract Workers And Volunteers
10/22/2013  
  Authorization For Release of Information 10/22/2013  
10.2.7 Title VI Compliance 06/27/2016
  Title VI Compliance Form    
10.2.8 Complaint Resolution 07/08/2016  
10.4.1 Internship Policy 05/15/2013
  A - Student Internship Application Form    
  B - Student Internship Program Plan    
  C - Student Internship Service Agreement    
  D - Student Internship Evaluation    

If you have any questions or comments, please feel free to contact us.

Policy & Innovation
 
Policy # Policy Effective Summary of Revisions
30.1.2 Policy Committee 11/04/2014
30.1.6 Exemption Policy 12/28/2016
  Exemption Request Form    

If you have any questions or comments, please feel free to contact us.

Quality Management
Policy # Policy Effective Summary of Revisions
70.1.1 Fiscal Accountability Review Policy Rescinded
70.2.1 Reporting Fraud Waste and Abuse of Government Funds and Property 02/23/2015

If you have any questions or comments, please feel free to contact us.

Program Operations
Policy # Policy Effective Summary of Revisions
80.1.1 New Provider Application Policy 06/09/2014
  Credentialing Application for Dental Services Anesthesia    
  Credentialing Application for Vision Services    
  Disclosure Form: Entities    
  Disclosure Form: Person    
  Initial Screening Questionnaire for Long Term Services & Support Coordination Services / Part 1    
  New Provider Initial Screening Questionnaire for LTA Support Coordination / Part 2    
  Provider App for Clinical and Ancillary Services    
  Substitute W-9 Form    
80.1.2 Provider Expansion 01/01/2016
  Clinical & Ancillary Services - Expansion Request    
  Long Term Supports - Expansion Request    
  Intensive Behavioral Residential Services Program Proposal Requirements    
80.2.1 Abuse Neglect Prevention Committee 02/23/2015 SOR Link
80.2.2 Abuse Registry Review Committee 02/10/2016
80.2.3 Investigation Review Committee 09/14/2016
  Request for Investigation Review Form    
80.2.4 Abuse Registry Advisory Group 02/27/2017
  Application for Removal from Abuse Registry    
80.3.2 Level of Care Reevaluations Policy 02/10/2016
  Guidelines LOC Reevaluations & Annual Reevaluation    
80.3.4 Authorization of Services 12/07/2015
  ISP with Person Centered Prompts    
  ISP Signature Sheet    
  Annual ISP Review and Update Documentation    
  ISC/CM Monthly Documentation Form    
80.3.5 Continued Stay for Children Enrolled in Waiver Before Age Six 06/05/2015
80.3.6 Amending the Initial Plan of Care Before Development of the ISP 11/13/2015
  Amending the Initial Plan of Care Form    
80.3.7 Requests for Emergency Service Authorization 08/21/2015
  Request for Emergency Service Authorization Form    
  DIDD AOD Checklist    
80.3.8 Termination of Participant Direction of Waiver Services 06/05/2015
80.3.10 Individual Rights and Responsibilities Rescinded
  Acknowledgement of Intake Process and Individual Rights    
80.3.11 Case Management Services While on DIDD Waiver Waiting List Rescinded
  Case Manager Contact Log    
  Wait List Status Change Form    
  Wait List Status Change Letter    
  New Case Manager Letter    
  Certified Unable to Locate Letter    
80.4.1 Program Participant Experience Surveys 06/29/2015
80.4.2 Medicaid HCBS Waiver Personal Assistance Services Rescinded
80.4.3 Personal Funds Management 12/14/2016
80.4.4 Electronic Records and Signatures 04/01/2016
80.4.5 Recoupment 02/23/2015
80.4.6 Sanctions 03/15/2013
  Examples of Violations    
80.4.7 Community Transition Policy 06/01/2012
  Community Transition Planning Form    
  Community Transition Notify Form    
80.4.8 Limited English Proficiency Policy 04/06/2015
80.5.1 Establishment Funds 03/31/2015
80.5.2 Housing Costs Subsidy 04/21/2017
  Request for Housing Costs Subsidy Form    
  Instructions for Request for Housing Costs Subsidy Form    
80.5.3 Vehicle Protective Barrier Subsidy 06/29/2015
  Vehicle Protective Barrier Subsidy Form    
80.5.4 Transportation Cost Subsidy 06/29/2015
  Transportation Subsidy Cost Form    
80.5.5 Transition Allowance for Money Follows the Person 06/05/2015

If you have any questions or comments, please feel free to contact us.

Health Services
 
Policy # Policy Effective Summary of Revisions
90.1.1 Nursing Health Care Management 11/13/2015  
90.1.2 Death Review Policy 03/23/2012  
  Reportable Incident Form Instructions and Definitions    
  West Region    
  Middle Region    
  East Region    
  Death Review Attendance Form    
  Notice of Death Form    
  Initial Agency Death Review Form    
  End of Life Planning Resources    
  Last Passages    

If you have any questions or comments, please feel free to contact us.

Intermediate Care Facilities
Policy # Policy Effective Summary of Revisions
100.1.1 Protection From Harm 08/19/2016  
100.1.2 Governing Bodies in Public Intermediate Care Facilities for Individuals with Intellectual Disabilities 09/15/2015  
100.1.3 Protection of Rights 09/15/2015  
100.1.5 Personal Property 09/15/2015  
100.1.7 Ensuring Coverage and Scheduling Overtime 09/15/2015  
100.1.8 Individual Support Planning Process 09/01/2016  
  ISP with Person Centered Prompts Form    
100.1.10 Specialized Adaptive Equipment and Assistive Technology 09/15/2015  
100.1.11 Trust Fund Accounts 09/14/2016  
100.1.13 Mealtime Supports 09/15/2015  
100.1.14 Conduct Toward Persons Supported 09/15/2015  
100.1.15 Staff Development 12/15/2015  
100.1.16 Leave and Attendance 11/27/2012  
100.1.18 Complaint Resolution 09/15/2015  
100.1.19 Proper Handling of Food and Appliances 09/15/2015  
100.1.21 Quality Improvement 12/15/2015  
100.1.22 Attention to Duties 09/15/2015  

If you have any questions or comments, please feel free to contact us.