MANUAL
I. SERVICE DELIVERY
 
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TABLE OF CONTENTS

I. SERVICE DELIVERY................................................Issue/Revision date

Current DDS Directives

Directive No. 18-1 Manager-on-Call System             Issued: February 15, 2018

  Directive No. 18-1 Attachment A Public Sector Incident Reporting After Normal Business Hours

  Directive No. 18-1 Attachment B Private Sector Incident Reporting After Normal Business Hours

I.A. Eligibility and Intake

  I.A. Policies 

PO.001 Eligibility for DDS Services
          (replaces DDS Policy #9 Eligibility for Services)

March 31, 2005

PO.002 Re-Evaluation of Eligibility for DDS Services

March 31, 2005

   I.A. Procedures

PR.001 Eligibility for DDS Services
          (replaces DDS Policy #9 Eligibility for Services)

Revised
January 27, 2006

PR.002 Re-Evaluation of Eligibility for DDS Services

Revised
January 27, 2006

   I.A. Directives/Advisories
I.B. Planning and Resource Allocation
For procedures related to the portability of funds, refer to Part II section C, Contracted Services
I.B.1. Planning and Allocation
   I.B.1. Policies
   I.B.1.Procedures

I.B.1.PR.001

Administration of Requests for Day and Residential Supports and Services

Revised
October 15, 2007
Interim Revision:
July 23, 2015

Attachment A
Priority Checklist for People at Home or Living in a CTH
August 31, 2007
Attachment B

Attachment C

 July 1, 2006
Attachment D

I.B.1.PR.002

Resource Planning for Students completing Educational Services

March 28, 2007
Interim Revision:
July 23, 2015

I.B.1 Directives/Advisories
I.B.2. Waiver Management
   I.B.2 Policies
   I.B.2 Procedures

I.B.2.PR.001

 

Revised 
July 1, 2005

Attachments:
1. DMR Forms 
     219, 222, 223, 224, 225, and 296
2. DSS Form W-1518
3. Notification of Enrollment in the DMR HCBS Waiver
4. Notification of Denial of HCBS Application or Services
5. Connecticut HCBS Waiver Fact Sheet

I.B.2.PR.002

Coordination of Waiver Enrollment Activities for Individuals Receiving State Funded Services

Revised
 July 20,  2004

Attachments - (See Waiver Manual)
1. DMR Forms 
     219, 222, 223, 224, 225, 
2. DSS Form W-1518
3. Notification of Enrollment in the DMR HCBS Waiver
4. Notification of Denial of HCBS Application or Services
5. Connecticut HCBS Waiver Fact Sheet

I.B.2.PR.003

Enrollment and Eligibility Maintenance for the DMR Comprehensive HCBS Waiver

September  9, 2004

Attachments - (See Waiver Manual)
1. DMR HCBS Waiver Enrollment Packet Forms:
  • DMR 219:HCBS ICF/MR Level of Need
  • DMR 222: HCBS Service Selection
  • DMR 223: Revised 4/5/04: Home and Community Based Services Notification of Waiver Programs
  • DMR 224: Reasons for Declining to Submit Medicaid and /or DMR HCBS Waiver Applications
  • DMR 225: PRAT HCBS Waiver Recommendation
  • DMR 296: HCBS Waiver Services for People Living with Their Family (as necessary)
  • DSS Form 1518
2. Notification of Enrollment in the DMR HCBS Waiver
3. Notification of Denial of HCBS Application or Services
4. Notification of Change of Eligibility Status Causing Discharge
     from the HCBS Waiver
5. Notification of Denial of Request for Additional Waiver
    Services
6. DSS - Request for Administrative Hearing HCBS Waiver for
    Persons with Mental Retardation
7. DMR Connecticut HCBS Waiver Fact Sheet

I.B.2.PR.004 

Waiver Compliance Review

September 9, 2004

Attachment - (See Waiver Manual)
Home and Community Based Services Waiver Compliance Review
I.B.2. Directives /Advisories

DIR.001

Maximizing Enrollment in DMR HCBS Waiver(s) for Individuals Receiving or Seeking DMR Services and Supports

February 6, 2004

I.C. Services and Supports
   I.C. Policies

PO.001 

Utilization and Resource Review
Originally issued as Intensive Staffing Review

Revised
July 5, 2007

   I.C. Procedures 

PR.001

Utilization and Resource ReviewOriginally issued as PR.001a-Intensive Staffing Review Committee-Statewide

Revised
July 5, 2007

Attachment A

 

DMR Utilization Staffing Request Form
Attachment B Regional Utilization Resource Review Form

PR.001.b 

Intensive Staffing Review Committee – Regional

Rescinded
July 5, 2007

         PR.002  

Community Based Housing Subsidy Program

Revised
September 30, 2009

Attachment A-C
Community-Based Housing Subsidy Program Application
Attachment D Rent Subsidy Property Inspection
   I.C. Directives/Advisories
1. Case Management/Broker Services
Case Management Definitions July 30, 2003
Reference guide to Case Management and Related Policies and Procedures July 30, 2003
   I.C.1. Policies

PO.001

Case Management
(replaces DMR Policy #8, Case Management)
July 30, 2003

PO.002

Individual Planning(replaces DMR Policy #11 – Overall Plan of Service) Revised
September 1, 2008

PO.003

Master File/Individual Record
Revised
November 30, 2008

PO.004

Regional Responsibility for Service Delivery
Revised
November 30, 2008

PO.005

Discontinuance of Services(replaces DMR Policy #12 – Discharge) July 30, 2003

PO.006

STS: Professional Judgment/Most Integrated Setting September 11, 2013
For policy related to Transfers
see below I.F.PO.002 Transfer
   I.C.1. Procedures

PR.001.a

Revised
November 30, 2008
PR.001.b Service Coordination
Revised
November 30, 2008
PR.001.c Frequency of Case Management Contact
Revised
November 30, 2008
Attachment A
 
PR.001.d Automated Data System Maintenance
Revised
November 30, 2008
PR.001.e Targeted Case Management Revised November 14, 2016
PR.001.f Case Transfer Procedures November 30, 2008
Attachment A
 
Attachment B
(PDF)
Attachment C
(PDF)
PR.001.g Case Management Quality Service Review Procedure November 30, 2008
PR.002.a Components of an Individual Plan
Rev.
September 1, 2008
Attachment A
 
Attachment B
Attachment C

Attachment D

 

Attachment E

PR.002.b Planning and Support Team
Rev.
September 1, 2008

PR.003  

Master File/Individual Record
Revised
November 30, 2008

PR.004   

Regional Responsibility for Service Delivery
Revised
November 30, 2008

PR.005   

Discontinuance of Services July 30, 2003
For procedure related to Transfers
see below
I.C.1. Directives/Advisories
2. Individual Support
   I.C.2. Policies
   I.C.2. Procedures

PR.001

Orientation January 11, 2002

PR.002

Resource Allocation for Individual Supports Rescinded
April 4, 2007

PR.003

Revised
November 29, 2007

PR.004

Fiscal Intermediary Selection by Individuals and Families Rev.
 January 26, 2006

PR.005

Individual Support Planning Rescinded
 April 4, 2007

PR.006

Individual Budget Rev.
 January 26, 2006

PR.007

Individual Support Agreement Authorization Process Rev.
 May 1, 2009
Attachment A:
Self-Directed Support Agreement
Attachment B:
 

PR.008

Individual Support Agreement Fiscal Management Rev.
 June 1, 2009
Attachment A:
Attachment B:
Attachment C:

PR.009

Individual Support Prior Approval Process
Revised
January 1, 2011
Attachment A
Attachment B
Attachment C

Attachment D

See I.C.2.PR.014 Family Hires
 Rescinded

PR.010

Request for Proposals for Fiscal Intermediaries Revised 
January 26, 2006

PR.011

Fiscal Intermediary Contracting Process Revised 
January 26, 2006

PR.012

Fiscal Intermediary Contracting Management
Revised
August 10, 2010
Attachment A:
Monthly Fiscal Intermediary Cast Adjustment Form

PR.013

Criminal History Background Verification of Applicants for Employment in Self-Directed Supports 
(Spanish Version)
Revised
July 1, 2023
 

PR.014

Family Hires
Effective
July 1, 2013
Attachment B: DDS Family Hire Review Form (DOC)
Attachment C: Self-Directed Support Agreement (DOCX)
 
   Section Definitions 
Individual Supports Definitions January 11, 2002
   I.C.2. Directives/Advisories
3. Family Supports
   I.C.3. Policies 

PO 001

Respite Centers

April 24, 2007

   I.C.3. Procedures 

PR 001a

Respite Center Eligibility and Referrals

April 24, 2007

PR 001b

Respite Center Pre-admission

April 24, 2007

PR 001c

Respite Center Admission, Visitation and Discharge

Revised
 May 18, 2007

PR 001d

Respite Center Operations and Oversight

April 24, 2007

Attachment A
Family Respite Center Packet

PR.002

Individual and Family Grants

          Revised
November 1, 2019

I.C.3.PR.002 Attachment D - Individual and Family Grant Provider Payment Log

   I.C.3. Directives/Advisories                                 Reserved for future use
4. Children's Services
   I.C.4. Policies 

PO.001

 Birth to Three November 5, 2010

PO.002

 Early Connections September 13, 2010
Please see the Office of Early Childhood for policies and procedures related to the Birth-to-Three Program
   I.C.4. Children's Services Procedures

PR.001

June 1, 2011

PR.002

Out of Home Treatment/Placement Requests
April 4, 2007
Under Review 2015
  
I.C.4.PR.003        Reserved for Future Use
I.C.4.PR.004 DDS Behavioral Services Program (DDS BSP)              April 1, 2017
        I.C.4.PR.004 Attachment A Eligibility Criteria for DDS Behavioral
                                                Services Program
        I.C.4.PR.004 Attachment B DDS BSP Application
        I.C.4.PR.004 Attachment C DDS BSP Parent or Guardian Agreement
        I.C.4.PR.004 Attachment D DDS BSP Family Handbook
5. Employment and Day Supports

I.C.5. Employment and Day Supports Policies

 I.C.5.PO.001
 

Repealed September 24, 2024

  
I.C.5 Employment and Day Support Procedures
 I.C.5.PR.001 

Employment First Initiative

September 24, 2024

  
I.C.5 Employment and Day Supports               Directives Reserved for future use
6. Living Arrangements
7. Forensic Services
I.D. Quality Enhancement
   I.D. Quality Enhancement Policies

PO.001

Mortality Reporting & Review(Replaces DMR Policy #30 Mortality Review)
March 15, 2002

PO.002

Root Cause Analysis
Revised
June 23, 2011
   I.D. Quality Enhancement Procedures 

PR.001

Mortality Reporting Deaths of Individuals March 15, 2002
Attachment A - Client Death DMR Responsibility
Attachment B - Death Reporting FORM

PR.002

Sudden Death

Revised
 March 15, 2002

Attachment A- Immediate Safety Assessment & Monitoring Form
Attachment B - Div of Investigations- Sudden -Unexpected Death Admin. Review Form
Attachment C - Client Death DMR Responsibility Checklist

PR.003

Reporting Death to Chief Medical Examiner Revised
 March 15, 2002
Attachment A - Telephone Report to the Office of the Chief  Medical Examiner of Death of DMR Client

PR.004

Autopsies Revised
 March 15, 2002

PR.005

Mortality Review Revised July 12, 2004
Attachment A:  Mortality Review Form
Attachment B:  Local Mortality Review Board Form

PR.007

Community Living Arrangement Licensing Inspections (Policy Under Revision) March 5, 2003

PR.008

Community Training Home Licensing (Policy Under Revision) March 31, 2005
Attachment A: CTH Initial Licensure Checklist (Policy Under Revision)
Attachment B: Request for CTH Licensure Memo (Policy Under Revision)
Attachment C: Summary Application for Renewal (Policy Under Revision)
Attachment D: Police Check (Policy Under Revision)

PR.009 

Incident Reporting

Revised 
December 30, 2014

Attachment A: 
Attachment B:
 
  
Attachment C:
Attachment D:  
Attachment E:  
 
Attachment F:
Attachment G:
 
Attachment H:
 
Attachment I:
  


Attachment J: 
Attachment K:
 
Attachment L:

PR.009a

March 13, 2006

Attachment D: Restraint Log OH/Fam
Attachment F: DMR Missing Person form

PR.010

Missing Person Reporting
 Topic covered in PR.009 and PR.009a

Rescinded
 March 9, 2006

I.D.PR.011 Use of Video and Audio Technology November 21, 2024
   I.F.PO.006 Attachment B Request for Human Rights Committee Review Form  

PR.012

Root Cause Analysis
Revised
 June 23, 2011
Attachment A - Root Cause Analysis Report Form

PR.013

June 7, 2002

PR.014

November 8, 2010

PR.014

  

PR.014

  

PR.014

  

PR.014

  

PR.014

  

PR.014

  

PR.014

  

PR.014

  

I.D.PR.015

November 8, 2010

PR.015

  

PR.015

  

PR.015

  

PR.015

  

PR.015

  

PR.015

  

PR.015

  

I.D. Directives/Advisories
I.E. Health and Safety
  
I.E. Health and Safety Policies

PO.005 

 

Pre-Admission Screening for Persons Applying for Nursing Home Admission (OBRA)
See Health Standard No. 22-1 Preadmission Screening for Persons Applying for Nursing Facility Admission (OBRA)
Revised
June 28, 2010
Rescinded
March 31, 2022


PO.007 

End of Life Decisions May 26, 2004
  
I.E. Health and Safety Procedures
PR.002 Bed & Side Rail Safety, Assessments and Audits Effective:
August 1, 2023
  I.E.PR.002 Attachment A Individual Bed & Side Rail Assessment  
  I.E.PR.002 Attachment B Bed & Side Rail Safety Audit  
  I.E.PR.002 Attachment C Bed & Side Rail Safety Checklist  

PR.003 

Positive Behavior Support Program and Behavior Support Plans
Revised
February 1, 2018

I.E.PR004Attachment A: Request for PRC Date to Review Behavior Modifying Medication or Aversive or Procedures

I.E.PR004 Attachment C: PRC Consent for Treatment

(Optional Form, used only if prescriber does not have his or her own Treatment Plan form)

 

 
 PR.004  Program Review Committees     Revised August 1, 2022

Attachment A: Request for PRC Date to Review Behavior Modifying Medication or Aversive or Procedures

Attachment B: PRC Face Sheet

Attachment C: PRC Consent for Treatment
Attachment D: ICF/IID Request for PRC Interim Approval
(Optional Form, used only if prescriber does not have his or her own Treatment Plan form)

PR.005

Pre-Admission Screening for Persons Applying for Nursing Home Admission (OBRA)
See Health Standard No. 22-1 Preadmission Screening for Persons Applying for Nursing Facility Admission (OBRA) 

Revised
June 28, 2010
Rescinded
March 21, 2022

Attachment A:
 
OBRA Preadmission Screening Level II
Attachment B:
 
Preadmission Screening Determination Notification
Attachment C:
 
DDS Contact Sheet
Attachment D:
Advanced Directive Client Status with DDS
Attachment E:

Placement Request for OBRA Participant

PR.006 

Pre-sedation of Medical/Dental Procedures(Originally issued as PR.008)
Revised
July 1, 2009
Attachment A:
PRC/HRC Review of Pre-Secation for Medical/Dental Care
(PDF) or (DOC)
Attachment B:
Considerations for Pre-sedation for Medical/Dental Care
(PDF) or (DOC)
Attachment C:
Consent for Treatment Form
(PDF) or (DOC)
Attachment D:
Use of Pre-Medication for Medical/Dental Care Tracking
(PDF) or (DOC)

PR.007.a

Advance Directives (Living Wills) May 26, 2004

PR.007.b

May 26, 2004

PR.007.c

Revised
September 14, 2010
Attachment A:
 
Review of Do Not Resuscitate (DNR) Orders            
Attachment B:
 
Attachment C:
Attachment D:
 

PR.008  

RN On Call System

February 28, 2005

Attachment A: RN On Call Equipment List
Attachment B: RN On Call Documentation Form
Attachment C: On Call Log of Non-individual Related Calls
Attachment D On Call Time Log
I.E. Directives/Advisories

DIR.001

Prohibited Use of Prone Restraints

Revised
January 1, 2009

I.F. Human Rights and Legal Responsibilities
   I.F. Policies:
 
 

I.F.PO.004

I.F.P.O.005

Effective
April 8, 2005
Effective
June 12, 2014
 

I.F.PO.006

Human Rights Committee(replaces DMR Policy #6 - Human Rights Committee)
Revised
July 1, 2009
   
  
   I.F. Procedures:
   

I.F.PR.001

Abuse and Neglect/Allegations: Reporting
Revised
June 30, 2021

I.F.PR.002

Revised
June 30, 2021

I.F.PR.003

 

Revised
June 30, 2021

I.F.PR.004

Abuse and Neglect/Investigations: Recommendations, Protective Services and Prevention Activities

Revised
June 30,2021

I.F.PR.005

Revised
June 30, 2021

I.F.PR.006a

Abuse and Neglect/DDS Abuse and Neglect Registry 
Revised
June 30, 2021
I.F.PR.007a Abuse and Neglect/Access to the DDS Abuse and Neglect Registry

Revised
June 30, 2021

I.F.PR.001 to I.F.PR.007a Abuse and Neglect Attachments:  
I.F.PR.001 to I.F.PR.005

Attachment A: DDS A & N Policy and Procedure - Definitions and Examples

 
I.F.PR.006a to I.F.PR.007a Attachment L: DDS A & N Registry Policy and Procedure - Definitions and Examples  
     
I.F.PO.001
Abuse and Neglect Attachments:
I.F.PO.001
 Attachment A DDS and OPA Interagency Agreement
 
I.F.PO.001
 Attachment B DDS Investigation Report
 
I.F.PO.001
 Attachment C DDS Abuse/Neglect Investigation Review Form
I.F.PO.001
 Attachment D DDS Abuse/Neglect Registry: Monitoring Printable Form
 
I.F.PO.001
 Attachment E DDS Abuse/Neglect Registry: Monitoring Template Format
I.F.PO.001
 Attachment F Notification of Termination or Separation for Registry Purposes Printable Form
 
 
I.F.PO.001
 Attachment H DDS Intake Printable Form
I.F.PO.001
 Attachment I DDS Intake Template Format
 
I.F.PO.001
 Attachment J DDS False Claims Act/Misuse of State Funds Report Form
 
I.F.PO.001
 Attachment K OPA Sample Intake Referral
I.F.PO.001
 Attachment L OPA Sample M-5
I.F.PO.001
 Attachment M DDS and OPA Frequent Reporting Protocol
 
  
I.F.PO.004
Interpreter/Translation Procedures:
I.F.PR.008
Revised
August 14, 2009
I.F.PO.006
Human Rights Committees Procedures:

I.F.PR.006

Regional Human Rights Committee

Revised
July 1, 2009

I.F.PO.006
Human Rights Committee Attachments:
I.F.PO.006
Guidelines to Prepare for Human Rights Committee Presentation
 I.F.PO.006
Request for Human Rights Committee Review Form
 I.F.PO.006
Consent for Treatment Form
 I.F.PO.006
Human Rights Committee Flow Chart
    
I.F.PO.006
 Attachment E
Human Rights Committee Face Sheet
 
I.F.PO.006
 Attachment F Respite Center Letter
    
I.F.PO.006
 Attachment G Choosing PRC or HRC Review
 I.F.PR.007
Personal Funds Financial Management Procedures:
I.F.PR.007
Effective
January 26, 2007

I.F.PR.007

Personal Funds financial Management Attachments:
Attachment A - Financial Management Agreement
Attachment B - Funds Withdrawal Request (xls)
Attachment C - Personal Funds Tracking Report (xls)
Attachment D - Monthly Report of Client Funds (xls)
Attachment E - Personal Funds Daily Cash Count Log (xls)
Attachment F - In-House Cash Reimbursement Request (xls)
Attachment G - Personal Funds Tracking Voucher (xls)
Attachment H - CO 853
Attachment I - Daily Collection Report (xls)
Attachment J - Acceptable Client Purchases
Attachment K - Request for Additional Funding from DAS
Attachment L - Notification of Client Admin/Discharge/Transfer/Death Form
Attachment M - Probate Application PC212
 
I.F.PR.009 DDS ADA Grievance Procedure:
I.F.PR.009 DDS ADA Grievance Procedure                      Effective: July 1, 2017
     I.F.PR.009 Attachment A DDS Grievance Procedure Under the ADA
     I.F.PR.009 Attachment B DDS Notice Under the ADA
 
 
I.F.PR.010 Respectful and Person-First Language Procedure:
I.F.PR.010 Respectful and Person-First Language       Revised: December 7, 2017

I.F.PR.011 Programmatic Administrative Reviews (PAR) Procedure:

I.F.PR.11 Programmatic Administrative Reviews (PAR)     Revised November 15, 2019
(Formerly DMR Policy #7)

I.F.PR.012 Prevention and Reporting of Fraud, Waste and Abuse

I.F.PR.012 Prevention and Reporting of Fraud, Waste and Abuse      Revised: April 1, 2023
(Formerly II.A.PR.002 False Claims Act)

  I.F.PR.012 Attachment A Fraud Information
 
I.F.PR.013 Residential Transfers
I.F.PR.013 Residential Transfers                                       Revised: July 1, 2023
(Formerly I.F.PO.002 PR.001 Transfer)

  I.F.PR.013 Attachment A Sample Notice of Intent to Transfer

  I.F.PR.013 Attachment B Sample Notice of Emergency Transfer
  I.F.PR.013 Attachment C Sample Objection to Transfer
  I.F.PR.013 Attachment D Residential Transfers Fact Sheet
 
I.F. Human Rights and Legal Responsibilities Directives/Advisories

I.F.Adv. 001

The use of Client Personal Funds for Transportation to & from or while at a DMR funded Day Program
Revised
 February 14, 2005

I.F.Adv.003

The Use of Clients’ Personal Funds for Donations to Their Support Provider
Effective
February 14, 2005

I.F.DR.004

 

Revised
 July 19, 2010
I.G. Qualified Providers
   I.G. Qualified Providers Policies

I.G.PO.001

Effective
February 1, 2011

I.G.PO.002

Effective
 March 1, 2002
   I.G. Qualified Providers Procedures

I.G.PR.001

Revised
February 1, 2011

I.G.PR.001

 

I.G.PR.002

Revised
 October 28, 2003

I.G.PR.003

Effective
 August 1, 2008

I.G.PR.004

Effective
 August 1, 2011

I.G.PR.004

 

I.G.PR.005

Revised
May 21, 2014

I.G.PR.005

 

I.G.PR.005

 

I.G.PR.005

 

I.G.PR.006

Revised
 April 16, 2009

I.G.PR.007

Effective
 October 1, 2012

I.G.PR.008 

Revised:
August 1, 2018

  

   



I.G.PR.009 

   

Independent Contractor or Consultant Ethics Compliance Protocol

Revised:
November 14, 2016

  I.G.PR.009 Attachment A Hiring of a Relative by an Independent Contractor or Consultant Check List
 
 
  I.G.PR.009 Attachment B Approval of Staff Expense Payments for Accompanying an Individual to an Activity or Event Check List
 
 

  

I.G.PR.009 Attachment C Related Party Transactions Check List
 
 I.G.P.R.010 Qualified Provider State Criminal Background Checks for Purposes of Employment

Effective:
March 1, 2020 

I.H. Health Standards
I.H. Health Standards
 

Health Standard No. 22-1 Preadmission Screening for Persons Applying for Nursing Facility Admission (OBRA)      Revised: March 31,2022
Replaces I.E.PO.005 and I.E.PR.005 Preadmission Screening for Persons Applying for Nursing Home Admission (OBRA)

HS No. 22-1 Attachment A OBRA Preadmission Screening Report Level II Summary

HS No. 22-1 Attachment B Preadmission Screening Determination Notification

HS No. 22-1 Attachment C DDS Contact Sheet

HS No. 22-1 Attachment D SNF Code Status Change Form

HS No. 22-1 Attachment E Placement Notification for OBRA Form

Health Standard No. 21-2 Medication Administration Certification Guidelines for Developmental Services Supported Living Workers Within the Individual Family Supports Division        Effective: October 1, 2021

Health Standard No. 21-2 Attachment A Quarterly Medication Administration Audit Form and Instructions

Health Standard No. 21-1 Osteoporosis Guidelines for Individuals Receiving DDS Supports                           Effective: July 28, 2021

Health Standard No. 21-1 Attachment A Osteoporosis Information Sheet

Health Standard No. 19-1 Consent Required for Medical or Dental Procedures including Emergency Surgery     Effective: July 1, 2019

Health Standard No. 18-1 Homeopathic Remedies, Herbal Products, and Supplemental Products or Treatments         Effective: November 19, 2018

Health Standard No. 17-1 Water Safety Effective: December 1, 2017
(Replaces I.E.PO.001 & I.E.PR.001 Water Safety)
 
HS No. 17-1 Attachment A Aquatic Activity Screening Form
 
 
 
HS No. 16-2 Attachment B Bedside Swallow Evaluation
 
 
HS No. 16-2 Attachment D Reflux Precautions Sample Protocol
 
 
 
 
Health Standard No. 16-1 Healthcare and Nursing Services for Individuals
Receiving DDS Individualized Home Supports (IHS)
 
 
 
 
 
Health Standard No. 09-1 Routine Preventative Health Care
 
 
 
 
Health Standard No. 2000-1 Infection Control
 
 
 
 
 
 
I.H. Nursing Standards, Protocols and Guidelines
 
Nursing Protocol No. 11-1 Fall Prevention
 
   NP 11-1 Attachment A Fall Risk Prevention Plan
 
   NP 11-1 Attachment B Fall Risk Factors
 
   NP 11-1 Attachment C Post Fall Evaluation
 
   NP 11-1 Attachment D Fall Risk Screening Tool
 
 
 
 
Nursing Protocol No. 09-1 Care of Persons with Gastrostomy Tubes
 
 
 
Nursing Standard No. 09.4 On-Site Practicum Process
 
   NS 09.4 Attachment A-1 On-Site Practicum/Checklist A
 
 
   NS 09.4 Attachment B-1 On-Site Practicum/Checklist B
 
 
 
 
   NS 09.3 Attachment E Authorized LPN Performance Evaluation
 
 
Nursing Standard No. 09.1 Nursing Process
 
 
 
   NS. 99.1 Attachment B Med Cert Recertification Manual (part 1)
 
   NS 99.1 Attachment C Med Cert Recertification Manual (part 2)
 
Nursing Standard No. 97.1 Nursing Delegation to Unlicensed Staff
 
Nursing Standard No. 96.3 Nursing Documentation
 
   NS 96.3 Attachment A  DDS Nursing Notes
 
   NS 96.3 Attachment B  Nursing Documentation Guideline

 

I.H. Health Services Memos

CO - Guardian's Authorization - Off Label - COVID-19 April 3, 2020

DDS Response to Novel Coronavirus - January 2020

FAQ - End of COVID-19 Public Health Emergency (PHE) May 31, 2023

First Aid Kit Contents - August 2018

Reminder - Health Concerns and the Summer - June 2018

 

I.H.1. Privacy
  I.H.1. Policies

PO.001

  Privacy of Health Information

May 13, 2005

   I.H.1.Procedures
   I.H.1. Directives/Advisories
I.H.2. Security
   I.H.2.Policies

PO.001

Security of Health Information

May 13, 2005

   I.H.2.Procedures
   I.H.2. Directives/Advisories
 
I.I. Reserved for future use.
I.J. Reserved for future use.
 
I.K. General Administration 
I.K. Procedures
I.K. PR.001 DDS Communication        Revised: January 1, 2023
 
The Office of Public Records Administrator and the State Archives Public Records Policies
The policy and standards may be accessed directly at these links:
  Public Records Policy 04: Electronic Records Managment
  Public Records Standards 04-1: Electronic Records
  Public Records Standards 04-2: Digital Imaging
Additional resources: https://ctstatelibrary.org/publicrecords/ 
DDS Ethics Statement         Reissued: January 1, 2023
II.D.PR.024 Employee Assistance Program (EAP)                Revised: December 15, 2022

 

Equal Employment Opportunity Procedures

II.F.PR.001 Affirmative Action Policy                                            Revised: March 23, 2023

II F.PR.002 Sexual Harassment Prevention                                 Revised: May 1, 2023        
  II.F.PR 004 Attachment A Internal Discrimination Complaint Form  

II.F.PR.004 Internal Discrimination Complaint Procedure             Revised: May 1, 2023
  II.F.PR.004 Attachment A Internal Discrimination Complaint Form
  II.F.PR.004 Attachment B External Discrimination Investigative Agencies 
  II.F.PR.004 Attachment C Waiver of Union Representation