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: July 8 2020 Number: 07005 Waiver Type: IO Service Desc: Download
Date: July 8 2020 Number: 07004 Waiver Type: IO Service Desc: Download
Date: July 6 2020 Number: 07003 Waiver Type: Level 1 Service Desc: Download
Date: July 6 2020 Number: 07002 Waiver Type: SELF Service Desc: Download
Date: July 6 2020 Number: 07001 Waiver Type: IO Service Desc: Download
Date: July 1 2020 Number: 07000 Waiver Type: IO Service Desc: Download
Date: June 29 2020 Number: 06014 Waiver Type: IO Service Desc: Download

NMT:

Date Number Type of Waiver Service Description PDF
Date: July 10 2020 Number: 07006 Waiver Type: IO Service Desc: Download
Date: June 29 2020 Number: 06015 Waiver Type: Level 1 Service Desc: Download

Nursing & Other:

Date Number Type of Waiver Service Description PDF
Date: June 29 2020 Number: 06013 Waiver Type: IO Service Desc: Ramp and doorway widened Download