Request for Providers

Day Program:

Date Number Type of Waiver Service Description PDF
Date: November 13 2019 Number: 11012 Waiver Type: Level 1 Service Desc: Download

HPC:

Date Number Type of Waiver Service Description PDF
Date: November 15 2019 Number: 11014 Waiver Type: IO Service Desc: Download
Date: November 13 2019 Number: 11013 Waiver Type: IO Service Desc: Download
Date: November 12 2019 Number: 11011 Waiver Type: IO Service Desc: Download
Date: November 6 2019 Number: 11008 Waiver Type: Level 1 Service Desc: Download
Date: November 6 2019 Number: 11007 Waiver Type: Level 1 Service Desc: Download
Date: November 6 2019 Number: 11007 Waiver Type: IO Service Desc: Download
Date: November 6 2019 Number: 11002 Waiver Type: IO Service Desc: Download
Date: November 4 2019 Number: 11000 Waiver Type: IO Service Desc: Download

NMT:

Date Number Type of Waiver Service Description PDF
Date: November 13 2019 Number: 11012 Waiver Type: Level 1 Service Desc: Download
Date: November 12 2019 Number: 11009 Waiver Type: Level 1 Service Desc: Download
Date: November 6 2019 Number: 11003 Waiver Type: IO Service Desc: Download

Nursing & Other:

Date Number Type of Waiver Service Description PDF
Date: November 16 2019 Number: 11015 Waiver Type: IO Service Desc: Adapted Equipment Download
Date: November 12 2019 Number: 11010 Waiver Type: Level 1 Service Desc: Home modification Download
Date: November 6 2019 Number: 11005 Waiver Type: IO Service Desc: Download
Date: November 6 2019 Number: 11004 Waiver Type: IO Service Desc: Download