Document Library

Home Care & Respite Over-Income Program Consolidation

EOEA - ASAP Over-Income Program Consolidation Memo 3-26-24

EOEA Guidance for Transferring Respite Over Income to Home Care Over Income 3.26.24

EOEA OI Consolidation Timeline 3.20.2024

Home Care Program Alignment June 2023 ASAP ED 6.8.2023

Money Follows the Person Demonstration (MFP Demo)

MFP Demo Guidance

• Business Rule MFP Demo July 2024 v1.1 (PDF)
• PI 24-14 MFP Demo FINAL (PDF)

MFP Demo PowerPoint Presentations 

• MFP Demo Relaunch - ASAP Case Management Training 8.2.23 (PDF)

MFP Demo Forms 

• MFP Demo Referral Form (PDF)
• MFP Demo Informed Consent Form (Word)
• MFP Demo Withdrawal Form (Word)

MFP Demo Information System (MFP-IS) 

• MFP-IS User Request Form (Excel)
• MFP-IS User Training for ASAPs- October 2023 (PDF)

MFP Demo Documents

• MFP Demo Process Workflow 5.1.24 (PDF)

MFP Demo Services 

Assistive Technology 

• Assistive Technology & Community Engagement Navigation Services Training October 2023 (PDF)
• Community Engagement Navigation and Assistive Technology Provider List 8.23.24 (Excel)
• Easter Seals Assistive Technology Referral Form (Word)
• Assistive Technology Service Authorization Form 6.12.24 (Excel)

 Community Engagement Navigation (CEN) 

• Community Engagement Navigation Guidance Document 5.8.24 (Word)
• Community Engagement Navigation and Assistive Technology Provider List 8.23.24 (Excel)
• Community Engagement Navigation Referral Form 5.8.24 (Word)
• Community Engagement Navigation Authorization Form 5.8.24 (Excel)

Transitional Assistance 

• Transitional Assistance Training 9.22.23 (PDF)
• Transitional Assistance Provider List 9.11.24 (Excel)
• Transitional Assistance Plan 7.16.24 (Excel)
• Transitional Assistance Referral Form 9.19.23 (Word)

 Home & Vehicle Modifications (TA Service) 

• Home & Vehicle Modifications Training for ASAPs 10.5.23 (PDF)
• Home Accessibility Adaptations Guidelines 8.29.23 (Word)
• Home Accessibility Adaptations Referral 8.21.23 (Word)
• Vehicle Modification Program Referral 2023 (Word)

Housing Search Entity (TA Service) 

• Housing Search Entity Training 12.5.23 (PDF)
• Housing Search Entity Provider List by Region 12.6.23 (Excel)
• Housing Search Referral Form 12.6.23 (Word)
• Billing Attestation - First Payment 6.1.23 (Word)
• Billing Attestation - Second Payment 6.1.23 (Word)
• Billing Attestation - Third and Final Payment 6.1.23 (Word)

Hospital to Home Partnership Program (HHPP)

HHPP Learning Collaborative 1.16.24: Kick Off

HHPP Learning Collaborative 3.21.24: Screening Tools

• WMEC HHPP Transition Tool
• HHPP AgeSpan Assessment

HHPP Learning Collaborative 7.15.24: Supporting Patients Inpatient and Discharge Planning

HCBS Grants Change Request Form Fillable (Updated 8.8.24)

 

 

Revised Cost Share Table for the Home Care Program 2024 (PI-24-04)

Cost-share PI 2024 Revised 3-20-24

Program Manager / Nurse Manager Meeting Tuesday, February 13, 2024

PM.NM Meeting February 2024

Co-payment Adjustment Business Rule

Co-payment Adjustment Business Rule 12.12.23

Certified Older Adult Peer Specialists (COAPS) / Supporting Older Adults Remotely (SOAR)

11.13.2023 COAPS- SOAR Network Training

Dec 2023 COAPS-SOAR Network Training

Program Manager/Nurse Manager Meeting: Wednesday, October 18, 2023

PMNM Meeting 10.18.23

PI-23-05: New Home Care Services and Service Description Updates

PI 23-05 New Home Care Services and Service Description Updates

Alzheimer’s and Dementia Coaching - Attachment A - 11-1-2023

Assistive Technology - Attachment A - 11-1-2023

Companion - Attachment A - 11-1-2023

Electronic Comfort Pet - Attachment A - 11-1-2023

Evidence Based Programs - Attachment A - 11-1-2023

Peer Support - Attachment A - 11-1-2023

Transitional Assistance Attachment A - 11-1-2023

Video Communication and Monitoring - Attachment A - 11-1-2023

Translated Documents: Applicant, Consent and Disclosure Form

Eoea-applicant-consent-and-disclosure-form-English

Eoea-applicant-consent-and-disclosure-form-2_Haitian Creole

Eoea-applicant-consent-and-disclosure-form-2_Vietnamese

Eoea-applicant-consent-and-disclosure-form-2_Arabic

Eoea-applicant-consent-and-disclosure-form-2_Cape Verdean Creole

Eoea-applicant-consent-and-disclosure-form-2_Simplified Chinese

Eoea-applicant-consent-and-disclosure-form-2_Traditional Chinese

Eoea-applicant-consent-and-disclosure-form-2_Khmer

Eoea-applicant-consent-and-disclosure-form-2_Korean

Eoea-applicant-consent-and-disclosure-form-2_Portuguese

Eoea-applicant-consent-and-disclosure-form-2_Russian

Eoea-applicant-consent-and-disclosure-form-2_Spanish

Eoea-applicant-consent-and-disclosure-form-2-polish

Eoea-applicant-consent-and-disclosure-form-2-italian

Eoea-applicant-consent-and-disclosure-form-2-hindi

Eoea-applicant-consent-and-disclosure-form-2-greek

Eoea-applicant-consent-and-disclosure-form-2-german

 

PASRR Portal User Guides

PASRR Portal User Guide- Creating_L1_and_L2_PDFs

PASRR Initial Login User Guide_2023