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HCBS Policies

Request for Public Comment

Quality Assurance Policy 05.1.24

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General Policies

Policy 48 - Use of Authenticare
PDF, 284.07 KB
Conflict of Interest Policy
PDF, 385.12 KB
E2021-115 - HCBS Personal Care Services (PCS) Policy Revision
PDF, 246.69 KB
M2018-041 - Person-Centered Service Plan Policy - Multiple Waivers
PDF, 277.60 KB
E2021-112 - HCBS Enhanced Care Services (ECS) Policy Revision
PDF, 241.16 KB
E2017-149 - Working Healthy - WORK Transition Policy pdf
PDF, 243.60 KB
E2017-110 - HCBS AIR Management
PDF, 229.56 KB
E2021-011 - HCBS Military Inclusion Policy
PDF, 139.28 KB
Memo - Conflict of Interest Mitigation -Nov 8, 2017
PDF, 106.22 KB
E2017-100 - Access to HCBS Waiver Services for Individuals in DCF Custody
PDF, 249.50 KB
M2018-119 - HCBS Institutional Transition Policy
PDF, 124.34 KB
E2019-010 - HCBS Background Check policy
PDF, 66.58 KB
M2017-171 HCBS Provider Qualification Policy
PDF, 59.06 KB
M2018-038 - Financial Management Service Policy
PDF, 272.00 KB

FMS Readiness Review Tool Fillable

Physical Disability

E2021-114 - HCBS PD Waiver Eligibility Policy
PDF, 264.60 KB
PD Crisis Exception Policy
PDF, 247.96 KB
E2019-008 Physical Disability Transition Policy
PDF, 64.18 KB
PD Assessor Policy Q&A
PDF, 79.25 KB
PD Assessor Policy
PDF, 176.75 KB
PD Crisis Policy Q&A
PDF, 81.97 KB

PD-Crisis-Exception-Physician-Statement
PDF, 189.28 KB
PD-ACE-Form
PDF, 324.88 KB

Medicaid Functional Eligibility Instrument

Information Sessions
PDF, 350.67 KB
Quick Start Guide
PDF, 137.60 KB

Intellectual & Developmental Disability

M2023-053 ICF-IID Policy
PDF, 269.57 KB
E2021-113 HCBS-IDD Program Functional Eligibility Assessments and Waitlist Management
PDF, 238.48 KB
Crisis and Exception Policy E2016-119
PDF, 260.15 KB
IDD Person-Centered Service Plan Policy
PDF, 322.37 KB
Authorization for Day Supports During Inclement Weather
PDF, 167.55 KB
FINAL Extraordinary Funding Policy
PDF, 339.44 KB
M2023-054 HCBS I/DD Program Eligibility Determination
PDF, 233.24 KB

M2023-054 HCBS IDD Program Eligibility Determination Checklist

Brain Injury

E2021-010 Brain Injury Rehabilitation Facility (BIRF) Eligibility and Program Policy
PDF, 233.13 KB
E2021-010 Brain Injury Rehabilitation Facility (BIRF) Eligibility and Program Policy
PDF, 120.80 KB
E2024-10 Brain Injury Eligibility and Waitlist Management
PDF, 230.79 KB
E2019-009 TBI Waiver Transition Policy
PDF, 77.41 KB
TBIRF Referral Form
PDF, 261.07 KB

Quality Assurance

HCBS Quality Review Policy
DOCX, 149.77 KB

SED

E2021-116 - HCBS SED Waiver Eligibility Policy
PDF, 333.30 KB

Frail Elderly

FE Eligibility Policy
PDF, 68.55 KB

Technology Assisted

TA Eligibility MATLOC Assessor Q&A
PDF, 78.31 KB
TA MATLOC Eligibility Determination
PDF, 81.33 KB