Care Coordination Training and Resource Materials
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STAFF LISTINGS
Assessment Unit (pdf 20kb)
POLICIES
Care Coordinators please note:
Review links below that refer to recently published policies and procedures that affect waiver services.
IMPORTANT LINKS & INFO
List of Certified Care Coordination Agencies pdf version (51kb)
Online Care Coordinators Training
Care Coordination General Standards of Practice (pdf)
Care Coordination Training Manuals (under construction)
Cost Sheet Interface (COSI) for Care Coordinators (pdf 1,190 kb)
FORMS
Common Program Forms
- Critical Incident Report
- All-Waivers Plan of Care(word)
- All-Waivers Amendment to Plan of Care(word)
- Appointment of Care Coordinator Services
- *Helpful user tips guide for the new DSDS Plan of Care (read me first!)
- All-Waivers Plan of Care Guidelines
- Program Recipient Right
- Notice of Adverse Actions
- Request for Exception from Waiver Requirement for Face-to-Face Monthly Visit
- Transfer of Care Coordination Services
- Mini–grants Application
- Mini–grants Annual Fiscal Report.
- Core Services and Funding Agreement
- 01-Application Intake Instructions for Eligibility Determination and Request for Services
- 02-Eligibility Determination and Request for Services
- 04-Developmental Disabilities Registration and Review (formerly Waitlist Criteria Assessment)
- 05-Cost Sheet for MRDD and CCMC Waivers
- 08-Guidelines for ICAP Process
- 09-ICAP Process and ICAP Information List
- DHSS Table of ICAP scores
- 10-SOA-Division of Medial Assistance Nursing Facility Level of Care Assessment Form for Children
- 15-Change of Status Form
- STAR Discretionary Funds Awards
- Demographic Form for Interim ICF/MR Level of Care
- ICF/MR Level of Care Determination
- Guidelines for QDC Form & Memorandum
- Qualifying Diagnosis Certification Form
- Memorandum for QDC
- OA-AP Cost Sheet (excel)
- Program Memo Regarding Stadardized compression for RSLA providers
- 01-Document Cover Sheet
- 02-Authorization for Release of Information (enrollment, eligibility)
- 04-Consumer Assessment Tool
- 05-Authorization for Release of Information (non-enrollment, non-eligibility)
- 07-Medical Certification
- 08-Screening & Renewal Instructions
Environmental Modification Forms for All Waivers (OA/APD, MRDD, CCMC)
- Property Owners Consent to Environmental Modification
- Request for Cost Estimate-Bathroom Accessibility
- Request for Cost Estimate-Blank
- Request for Cost Estimate-Door Accessibility
- Request for Cost Estimate-Elevated Toilet with Grab Bars\
- Request for Cost Estimate-Hand Rails and Grab Bars
- Request for Cost Estimate-Ramp Access
- Request for Cost Estimate-Ramp Cover
- Request for Cost Estimate-Roll In Shower
- Request for Cost Estimate-Stair Lift
- Request for Cost Estimate-Vertical Lift
- Request for Exception to Three Estimates
- Request to Select Cost Estimate other than Lowest
Environmental Modifications Providers
HSS DSDS Training
3601 C Street, Suite 310, Anchorage, Alaska 99503
Phone: (907) 269-3685 Fax: (907) 269-4973
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