Guidance & Policy

Forms, Tools & Related Resources

Policy & Procedure


Service Review Internal Operating Guidelines (IOGs) & Related Resources

The Department has developed IOGs to guide the review of service requests. Following are the IOGs with any additional related material.

IOGs & Checklists

Download the Complete IOG & Checklist Kit below (.zip file)

The complete kit includes all items listed below.

Initial Review IOG (Plans Review Checklist for the initial review is incorporated into this document.)
Medical Review IOG
Behavior Services & Medical Review Checklist
Behavioral Respite Services & Medical Review Checklist
Community Participation Supports Medical Review Checklist
Employment and Day Services & Checklist
Enabling Technology Medical Review Checklist
Environmental Accessibility Modifications & Medical Review Checklist
Facility-Based Day Supports Medical Review Checklist
Family Model Residential Support & Medical Review Checklist
Hospital Attendant & Checklist N/A
Individual Transportation Services & Medical Review Checklist
Intermittent Employment and Community Wrap-Around Supports Medical Review Checklist
Intensive Behavioral Residential Services & Checklist
Medical Residential Services & Medical Review Checklist
Non-Residential Homebound Support Services Medical Review Checklist
Nursing Services & Medical Review Checklist
Nutrition Services & Medical Review Checklist
Occupational Therapy & Medical Review Checklist
Orientation and Mobility Services for Impaired Vision & Medical Review Checklist
Personal Assistance & Medical Review Checklist
Personal Emergency Response Systems & Medical Review Checklist
Physical Therapy & Medical Review Checklist
Residential Habilitation & Medical Review Checklist
Respite & Medical Review Checklist
Semi-Independent Living Services & Medical Review Checklist
Specialized Medical Equipment & Supplies & Assistive Technology & Medical Review Checklist
Speech, Language and Hearing Services & Medical Review Checklist
Supported Employment Individual - Benefits Counseling Medical Review Checklist
Supported Employment Individual - Discovery Medical Review Checklist
Supported Employment Individual - Exploration Medical Review Checklist
Supported Employment Individual - Job Coaching Medical Review Checklist
Supported Employment Individual - Job Development Medical Review Checklist
Supported Employment Small Group Employment Support Medical Review Checklist
Supported Living & Medical Review Checklist
Transitional Case Management & Medical Review Checklist

Provider Manual & Related Resources

Effective March 15, 2014