OCDD Waiver 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
- Guide to LA PLUS Routine Supports Checklist
- LA Plus Routine Supports Checklist Answer 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 03.21.2022
- Self-Direction Employer Handbook (CC, ROW and NOW)
- 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