Request for Providers

Day Program:

Date Number Type of Waiver Service Description PDF
(no records found)

HPC:

Date Number Type of Waiver Service Description PDF
Date: September 19 2019 Number: 09018 Waiver Type: Level 1 Service Desc: Download
Date: September 19 2019 Number: 09017 Waiver Type: Level 1 Service Desc: Download
Date: September 18 2019 Number: 09019 Waiver Type: Level 1 Service Desc: Download
Date: September 16 2019 Number: 09016 Waiver Type: SELF Service Desc: Download
Date: September 12 2019 Number: 09014 Waiver Type: Level 1 Service Desc: Download
Date: September 11 2019 Number: 09012 Waiver Type: Level 1 Service Desc: Download
Date: September 11 2019 Number: 09011 Waiver Type: SELF Service Desc: Download
Date: September 9 2019 Number: 09006 Waiver Type: IO Service Desc: Download

NMT:

Date Number Type of Waiver Service Description PDF
Date: September 12 2019 Number: 09013 Waiver Type: IO Service Desc: Download
Date: September 10 2019 Number: 09009 Waiver Type: IO Service Desc: Download

Nursing & Other:

Date Number Type of Waiver Service Description PDF
Date: September 16 2019 Number: 090015 Waiver Type: IO Service Desc: Adapted Equipment Download
Date: September 11 2019 Number: 09010 Waiver Type: IO Service Desc: Download
Date: September 9 2019 Number: 09008 Waiver Type: IO Service Desc: Home modification Download
Date: September 9 2019 Number: 09007 Waiver Type: IO Service Desc: equipment Download