Request for Providers

Day Program:

Date Number Type of Waiver Service Description PDF
Date: December 11 2018 Number: 12006 Waiver Type: IO Service Desc: Download
Date: December 6 2018 Number: 12004 Waiver Type: IO Service Desc: Download
Date: December 3 2018 Number: 12001 Waiver Type: IO Service Desc: Download
Date: November 30 2018 Number: 11023 Waiver Type: Level 1 Service Desc: Download

HPC:

Date Number Type of Waiver Service Description PDF
Date: December 4 2018 Number: 12003 Waiver Type: IO Service Desc: Download
Date: December 4 2018 Number: 12002 Waiver Type: IO Service Desc: Download
Date: December 4 2018 Number: 12002 Waiver Type: IO Service Desc: Download
Date: December 3 2018 Number: 12001 Waiver Type: IO Service Desc: Download
Date: December 3 2018 Number: 11028 Waiver Type: Level 1 Service Desc: Download
Date: November 30 2018 Number: 11027 Waiver Type: Level 1 Service Desc: Download
Date: November 30 2018 Number: 11026 Waiver Type: Level 1 Service Desc: Download
Date: November 30 2018 Number: 11025 Waiver Type: IO Service Desc: Download
Date: November 30 2018 Number: 11024 Waiver Type: Level 1 Service Desc: Download

NMT:

Date Number Type of Waiver Service Description PDF
Date: December 11 2018 Number: 12006 Waiver Type: IO Service Desc: Download
Date: December 6 2018 Number: 12004 Waiver Type: IO Service Desc: Download
Date: December 3 2018 Number: 12001 Waiver Type: IO Service Desc: Download

Nursing & Other:

Date Number Type of Waiver Service Description PDF
Date: December 12 2018 Number: 12008 Waiver Type: IO Service Desc: Download
Date: December 11 2018 Number: 12007 Waiver Type: IO Service Desc: Download
Date: December 6 2018 Number: 12005 Waiver Type: IO Service Desc: Download