Policies & Procedures

Click on a section title below to find related policies

Human Resources
Policy # Policy Effective Summary of Revisions Tracked Changes
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 Tracked Changes
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.

Legal & Regulatory Affairs
 
Policy # Policy Effective Summary of Revisions Tracked Changes
60.5.1 Public Records 5/22/2017    
  A - Request Form      
  B - Response Form      
  C - Reasonable Charges      
60.5.2 Certificate of Need Review Process 7/19/2017    

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

Quality Management
Policy # Policy Effective Summary of Revisions Tracked Changes
70.1.1 Fiscal Accountability Review Policy Rescinded  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 Tracked Changes
80.1.1 New Provider Application Policy 06/09/2014  
  Credentialing Application for Dental Services Anesthesia      
         
  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 06/02/2017  
  Examples of Violations      
80.4.7 Community Transition Policy 08/01/2017 View
  Community Transition Planning Form      
  Community Transition Day of Move      
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 Tracked Changes
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 Tracked Changes
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.