Children's Choice Waiver
Waiver Documents & Forms
Documents:
- Environmental Accessibility Adaptation Flow Chart
- EPSDT Personal Care vs. Home Health Services
- CC Waiver PCA vs. EPSDT-PCS
- CC Waiver vs. New Opportunities Waiver
- Emergency Protocol for Tracking Locations
- Request for Crisis Designation Flow Chart
Forms:
- CC Waiver Comprehensive Plan of Care
- CC Waiver Plan of Care Instructions
- CC Waiver Plan of Care Revision Request
- CC Waiver Plan of Care Revision Request Instructions
- CC Waiver Request for Family Training
- CC Waiver Request for Crisis Designation
- CC Waiver Request for Therapy
- CC Waiver Environmental Accessibility Adaptation Job Completion Form
- CC Waiver Request for Non-Crisis/Other Good Cause Designation
- Recipient's Consent for Authorized Representation (all waivers)
- Rights and Responsibilities Form (all waivers)