OCDD Wavier Guideline Documents and Forms

All Medicaid Provider Manuals with Updated Chapters can be found HERE.

Please scroll down for all Waiver Guideline Documents and Forms.

• Children's Choice Environmental Accessibility Adaptation Form
• Children's Choice Request for Crisis Designation
• Children's Choice Request for Non-Crisis/Other Good Cause Designation
• Children's Choice Waiver Comprehensive Plan of Care
• Children's Choice Waiver POC Instructions
• Children's Choice Waiver Environmental Accessibility Adaptation Flow Chart
• Children's Choice Waiver EPSDT Personal Care vs. Home Health Services
• Children's Choice Waiver PCA vs. EPSDT-PCS
• Children's Choice Waiver vs. New Opportunities Waiver (NOW)
• Children's Choice Waiver Request for Crisis Designation Flow Chart
• Children's Choice Waiver Request for Family Training
• Children's Choice Waiver Request for Therapy
• Emergency Protocol for Tracking Locations (All waivers)
• Freedom of Choice Provider Request Form
• Monitored In Home Caregiving FAQ'S
• Monitored In Home Caregiving Form
• NOW Environmental Accessibility Job Completion Form, Issued 10.25.2010 – OCDD-PF-03-009
• NOW Guidelines Document Revisions Summary
• NOW Guidelines for Support Planning
• NOW OCDD Verification of Actual TEPA Costs, Issued 11.18.2009 – OCDDWSS-I-09-002
• NOW TEPA Invoice Form, Issued 11.3.2010 – OCDDWSS-I-10-001
• NOW Transitional Expenses Planning and approval (TEPA) Request Form, Issued 11.18.2009 – OCDDWSS-R-09-008
• NOW Rate Code Sheet 03.28.2019
• Authorization of Shared Staff and release of information for NOW
• NOW Specialized Medical Equipment and Supplies Purchase and Repair Form, Issued 01.01.2004 – OCDD-PF-03-009
• POC_Attachment 1-A Universal Plan of Care
• POC_Attachment 1-B Relationship and Community Connections
• POC_Attachment 1-C Daily Living and Home Life
• POC_Attachment 1-D Health and Wellness Supports
• POC_Attachment 1-E Medication Treatment
• POC_Attachment 1-F Emotional Wellness Crisis Prevention Plan
• POC_Attachment 1-G Behavioral Health Supports 12.06.2019
• POC_Attachment 1-H Emergency Plan 11.17.2020
• POC_Attachment 1-I Back-up Staffing
• POC_Attachment 1-J Day Hab Prevoc, Group Employment
• POC_Attachment 1-K Individual Integrated Employment
• POC_Attachment L Complex Care Medical 12.16.2019
• Quality Enhancement Provider Handbook
• Recipient Consent for Authorized Representation
• Rights and Responsibilities Form 01.06.2022
• Self-Direction Employer Handbook (All Waivers)
• Supports Waiver Job Assessment, Job Discovery and Job Development Form – Issued 03.27.2007-OCDDWSS-PF-07-001
• Supports Waiver Rate and Code Sheet- Amended 03.01.2016
• Universal CPOC Instructions
• UPOC Revision Request 07.03.2019
• UPOC Revision Request Instructions 05.13.2019
• 90-L Form Fillable
• 90-L Instructions
• 90-L Letter to Physician
• 90-L Memo