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Health Standards Section Licensing Fees - Waiver Programs
For a listing of program contact numbers please see the directory listing.
- Definitions
- Health Standards Fee Schedule - non waiver programs
Case Management Waiver Program Information
|
Case Management |
Initial | Renewal | Delinquent Renewal | CHOW | Change Name | Change Address | Change of Service |
| $600 | $600 | $100 | $600 | $25 | $600 |
$25 |
Home and Community Based Service Provider Waiver Program Information
| HCBS | Fees |
| Initial | $600 plus an additional $200 for ADC and $200-250 for CBR |
| Renewal | $600 plus an additional $200 for ADC, $200-250 for CBR, and $200 for each Branch/Satellite |
| Delinquent Renewal | $100 |
| Deleting a Module | $25 |
| CHOW | $600 (does not include $200 FNR fee) |
| Name Change | $25 |
| Change in Address | $600 plus an additional $200 for ADC, $200-250 for CBR, and $200 for each Branch/Satellite |
| Change in Capacity for ADC or Center-Based Respite | $25 |
| Adding a Branch/Satellite | $200 for Branch/Satellite. $200 for ADC. $200-250 for CBR |
| Change of Service | |
| PCA | $200 |
| Respite: In-Home Care | $200 |
| Respite: Center-Based. Stand-Alone. No Parent Company | $200 |
| Respite: Center-Based. Parent Company. Satellite Branch | $250 |
| SIL | $200 |
| ADC | $200 |
| Family Support | $200 |
| Substitute Family Care | $25 |
| Supported Employment | $25 |
| MIHC | $200 |