DDP Forms/Tools

NOTE 

When completing forms in Excel and Word formats, only save your document using the "save as" option when exiting. Please save your document to your personal files prior to exiting.

Annual Provider Training Requirements

Behavior Support Waiver Services

Eligibility

  • Eligibility Determination Form - Adult - 11/01/13 (WORD)
  • Eligibility Determination Form - Children - 11/01/13 (WORD)

General Event/Incident Management Off-Line Forms

NOTE: Offline forms are only to be used in cases where the reporter is unable to access the Therap online reporting site.  To complete the GER/Incident Report, you must complete both the Therap GER/Incident Report Off-line Form plus the appropriate attachment related to the Type of Event.

Link to THERAP offline forms

Offline forms on Therap that apply:

  • General Event Reports
  • Injury: Form-GER
  • Medication Error: Form-GER
  • Restraint Related to Behavior: Form-GER
  • Restraint Other: Form-GER
  • Other: Form-GER

 Individual Cost Plans (ICP) and Invoicing Tools

ICP Calculators and Invoicing

Day and Residential Services

Transportation

Self-Direction

 

Medical and Nursing Forms

Medical Group Home Screening

Waiver Forms/Tools

Individual Goods and Services Guides -

Environmental Modification/ Adaptive Equipment Guides -