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Home Search My WebLink About 1.9% Fee Increase in State Fiscal Year (SFY) 2007 for Cetain Developmental Disability (DD) Services (Information Release MA 06-21)Action Against Provider Agreement (AAPA) Letter Action Against Provider Agreement (AAPA) Withdrawal Additional Support and Spending Plan (SSP) Goal Page Adult Day Health Quality Assurance Desk Review Provider Instructions Adult Day Health Weekly Limitations for Adult Developmental Disability Services (Information Release MA 01-15)Adult Developmental Disability (DD) Medical Care Form (April 2020 MedicAide)Adult Developmental Disability (DD) Procedural Requirements – Provider Records (February 2015 MedicAide)Adult Developmental Disability (DD) Services - Service Coordination - Provider Quals (March 2018 MedicAide)Adult Developmental Disability (DD) Services—Safety Plans (October 2018 MedicAide)Adult Participants Accessing Developmental Disability (DD) Services Enrolled in Medicare—Medicaid Coordinated Plan (MMCP)—Traditional and 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Skilled Nursing Facility Idaho Statewide Transition Plan Initial Approval Idaho Transition Plan V1 Idaho Transition Plan V2 Idaho Transition Plan V3 Idaho Transition Plan V3 - Updated Idaho Transition Plan V4 Idaho Transition Plan V4 - Updated Idaho Transition Plan V5 Idaho Transition Plan V6 Idaho Transition Plan V7 Implementation of Residential Habilitation Program Coordination for Certified Family Homes (CFH) (Information Release MA 12-05)Implementation Plan Template Individual Support Plan (ISP) Addendum Individual Support Plan (ISP) Addendum Example Individual Support Plan (ISP) Instruction Manual Individual Support Plan (ISP) Personal Summary-Assessed Needs Individual Support Plan (ISP) Review and Authorization Process for Adults with Developmental Disabilities (DD) (Information Release MA 09-09)Individual Support Plan (ISP) Signature Page Individual Support Plan (ISP) Supplemental Information Page Individual Support Plan (ISP) Support and Service Page Individual Support Plan (ISP) Supported Employment Page Individual Support Plan (ISP) Supports and Services Authorization Worksheet Institutions and Heightened Scrutiny - Home and Community Based Services (HCBS) Frequently Asked Questions (FAQs)Instructions for Completing the Intervention Specialist Competency Checklist Intense Blended Staffing Request Form Intense Supported Living Questionnaire Intense Supported Living Services Letter Interdisciplinary Training Guidance Intervention Professional Qualification Worksheet Intervention Professional Qualification Worksheet (2)Intervention Specialist Competency Checklist Intervention Specialist Qualification Worksheet Intervention Specialist Qualification Worksheet (2)Lifting Ban On Enrollment Letter Limitation of 22 Hours Per Week for Developmental Therapy (Information Release MA 08-23)Limitation of 22 Hours Per Week for Developmental Therapy (Information Release MA 08-23) (2)Limiting Enrollment Letter Medicaid Enrollment Instructions for Independent Provider Respite Providers My Choice Matters Website (January 2018 MedicAide)My Support and Spending Plan (SSP)My Voice My Choice Workbook New Procedures Codes Effective Jan 1, 2020 for those providers (Information Release MA 19-18)New Procedures Codes Effective Jan 1, 2020 for those providers (Information Release MA 19-18) (2)No Violation Letter Non-Medical Transportation - Aged and Disabled (A&D) Waiver Fee Schedule Ongoing Review Template Optional Service Eligibility Determination Form Original Records Destruction Overview for Parents Early Periodic Screening Diagnostic Treatment (EPSDT)Participant_Staff Identifier Personal Care Services (PCS) Allocation Tool Instructions Personal Care Services (PCS) Allocation Tools Personal Care Services (PCS) for Children School Based Medicaid Care Plan Personal Emergency Response System (PERS) Service and Payment (February 2014 MedicAide)Physician or Other Practitioner of the Healing Arts Recommendation Form Physician's Guide for Medicaid School-Based Services Plan Developer Authorization Cover Sheet Plan Developer Choice Form Plan Developers - Who are they and what do they do Plan of Correction (POC) Letter for Complance Report Plan of Correction (POC) Letter for Complance Report (2)Primary Diffrences Between Consumer-Directed Services for Children and Adults Prior Authorization Amendment Form Prior Authorization Amendment Form Instructions Prior Authorization for Services Early Periodic Screening Diagnostic Treatment (EPSDT)Prior Authorization of Certified Family Home (CFH) Services (Information Release MA 07-11)Private Duty Nursing - Home Health Certification and Plan of Care Private Duty Nursing Flow Chart Proof of Public Noticing Final Reduced Size (V3)Proof of Public Noticing V4 Proof of Public Noticing V6 Provider Competency Checklist for an Intervention Specialist Provider Review Checklist - Behavioral Consultation-Crisis Management Provider Review Checklist - Chore Services Provider Review Checklist - Developmental Disability Agency Provider Review Checklist - Developmental Disability Agency (DDA)Provider Review Checklist - Fiscal Employer Agent (FEA)Provider Review Checklist - Home Delivered Meals Provider Review Checklist - Non-Medical Transportation Provider Review Checklist - Personal Emergency Response System (PERS)Provider Review Checklist - Residential Habilitation Provider Review Checklist - Respite Provider Review Checklist - Service Coordination Provider Review Checklist - Service Coordination (2)Provider Review Checklist - Skilled Nursing Provider Review Checklist - Specialized Medical Equipment (SME)Provider Review Checklist - Supported Employment Provider Review Checklist- Environmental Accessibility Adaptations Provider Review Entrance Letter Provider Self Assessment Tool Provider Self-Assessment Example Provider Status Review Provider Status Review Instructions Provider Training Matrix Provider Training Matrix Checklist Public Notice and Redline Children's DD 1915i Renewal Quarterly Private Duty Nursing Status Update Registered Nurse (RN) Supervision of Licensed Practical Nurse (LPN)Request for a Corrective Action Plan (CAP) Form Request for Alone Time in a Certified Family Home (CFH) mid-year Request for Alone Time in a Certified Family Home (CFH) mid-year (2)Requesting an Appeal Communication Residential Habilitation – Intense Level of Support (June 2014 MedicAide)Residential Habilitation - Supported Living - Participant Choice and Plan Flexibility (October 2018 MedicAide)Residential Habilitation - Supported Living - Participant Choice and Plan Flexibility (October 2018 MedicAide) (2)Residential Habilitation Agency Provider Owned or Controlled Home and Community Based Services (HCBS) Settings in Adult Dev Disability Program (January 2020 MedicAide)Restricting Home and Community Based Services (HCBS) Setting Qualities - (Frequently Asked Questions (FAQs)Rules and Guidance Safety Risk Form Sample Policies and Procedures Non Electronic School-Based Services Children’s Habilitation Intervention Services & Provider Qualifications Matrix School-Based Services Instructions for Completing the Department Approved Competency Checklist for Intervention Specialists Section 12006(a) of the 21st Century CURES Act (External Link)Self-Direction Health and Safety Needs Exception Review Instructions and Forms Service and Provider Choice Form Service Hours Recommendation Checklist Significant Change Form - Children Personal Care Services Significant Change Form - Children Private Duty Nursing Significant Change Form Instructions for Child Private Duty Nursing Significant Change Form Instructions for Children's Personal Care Services (PCS)Support and Spending Plan (SSP) Change Authorization Form Support and Spending Plan (SSP) Instructions Support Broker Application for Children - Family Directed Services (FDS)Support Broker Application for ReQualification Support Broker Application Instructions Support Broker Email Communication Support Broker Manual Support Broker Manual, Consumer-Directed Community Supports, Family-Directed Services (children)Support Broker Update - Web Alerts Supported Employment Agency Recommendation Cycle Supported Employment Agency Recommendation Cycle (2)Supported Employment Exception Review Adult Developmental Disabilities Waiver Participants (Information Release MA 14-07)Supported Employment Exception Review Guidelines Supported Employment Exception Review Guidelines (2)Supported Employment Exception Review Request Form Supported Employment Exception Review Request Form (2)Supported Employment Services for Individuals in the Adult Developmental Disability (DD) Program (July 2019 MedicAide)Supported Living Rate Reconcilliation (Information Release MA 16-14)Supported Living Reimbursement Rates 07-01-2018 (Information Release MA 18-08)Supported Living Temporary Reimbursement Rates (Information Release MA 16-01)Targeted Service Coordinator (TSC) Guidance - Rolling vs Calendar Month Toolkit Introduction Traditional Requesting an Exception Review Updates to the Adult Developmental Disability Quality Improvement Strategy (March 2014 MedicAide)Vineland Standard Deviation Visual Vineland Standard Deviations Tool Who Can Provide Authorized Services at What Reimbursement Rate Worksheet to Determine Human Services Coursework