Home and Community Based Services Manual
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Chapter
Policy
Policy Number
3. Available Home and Community Based Services
4. Home and Community Based Assessment, Care Planning and Authorization Process
Participant Choice Statement Form and Instructions (Agency, CDS, and ADC)
Form / Instructions
4.00 Appendix 2a
Application for a State Hearing
Form / Instructions
5.00 Appendix 4
HCBS General Health Evaluation and Level of Care Recommendation
Form / Instructions
Form
8.00 Appendix 4