- Providers' Documentation
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The list below outlines the documentation providers must sent to support coordinators before they bill. Providers often have other documentation they must complete and keep in their own files as well.
- Documentation You Need To Get From Providers
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Please write to WaiverInfo@aol.com if you know of any other resources.
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Adult Day Training
- Copy of Service log, sent monthly
- Implementation Plan
- Annual Summary
Adult Dental
- Copy of Claims Submitted
- Copy of Treatment Plan
Need A Group Home?
Need A WheelChair?
Behavior Analysis
- Copy of Service log, sent monthly
- Behavior Assessment
- Behavior Plan
- Monthly Graphs
- Annual Report
Behavior Assistant
- Copy of Service log, sent monthly
- Monthly Summary
Companion
- Copy of Service log, sent monthly
Consumable Medical
- Service Log Listing Supplies Purchased, Sent Monthly
- Copy of Prescription (if prescribed)
Dietitian
- Copy of Service log, sent monthly
- Assessment
- Individual Dietary Management Plan
- Annual Summary
- Copy of Prescription
Durable Medical
- Service Log Listing Equipment Provided
- Copy of Prescription, if prescribed
Environmental Adaptations
- Service Log
- Copy of Prescription for Medical Equipment
In Home Supports
- Copy of Service log, sent monthly
- Monthly Summary Notes
Medication Review
- Copy of Claim Submitted For Payment
- Copy of Report Summarizing the Medication Review
Occupational Therapy
- Assessment Report
- Annual Report
- Copy of Prescription
- Copy of Service log, sent monthly
Personal Care Assistance
- Copy of Service log, sent monthly
Personal Emergency Response System
- Copy of Service log, sent monthly
Physical Therapy
- Assessment Report
- Annual Report
- Copy of Prescription
- Copy of Service log, sent monthly
Private Duty Nursing
- Copy of Service log, sent monthly
- Nursing Care Plan
- Nursing Assessment
- Copy of Prescription
Residential Habilitation
- Copy of Service log, sent monthly
- Implementation Plan
- Annual Report
- Monthly Summary
- LRC Review Dates (For Behavior Homes)
Residential Nursing
- Nursing Assessment
- Monthly Summary
- Copy of Service log, sent monthly
- Nursing Care Plan
Respiratory Therapy
- Service Logs
- Monthly Summary
- Assessment
- Copy of Prescription
Respite
- Copy of Service log, sent monthly
Skilled Nursing
-Copy of Service log, sent monthly
- Nursing Care Plan
- Nursing Assessment
- Copy of Prescription
Special Medical Home Care
- Copy of Service log, sent monthly
- Nursing Care Plan
- Nursing Assessment
- Copy of Prescription
Specialized Mental Health
- Copy of Service log, sent monthly
- Assessment
- Treatment Plan
- Monthly Progress Notes
- Treatment Plan Updates, Every 6 Months
Speech Therapy
- Copy of Service log, sent monthly
- Assessment
- Annual Summary
- Copy of Prescription
Supported Employment
- Copy of Service log, sent monthly
- Implementation and Employment Plan
- Performance Data
- Annual Report
Supported Living Coach
- Monthly Service Log
- Implementation Plan
- Annual Report
- Quarterly Visit Notes/ Housing Survey
Transportation
- Copy of Trip Logs, Sent Monthly
