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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 |
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I.A. Eligibility and Intake |
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I.A. Policies |
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PO.001 Eligibility for DDS Services |
March 31, 2005 |
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March 31, 2005 |
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I.A. Procedures | |||
PR.001 Eligibility for DDS Services |
Revised |
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Revised |
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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 |
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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 |
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Attachment A |
Priority Checklist for People at Home or Living in a CTH |
August 31, 2007
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Attachment B | |||
Attachment C |
July 1, 2006
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Attachment D
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I.B.1.PR.002 |
Resource Planning for Students completing Educational Services |
March 28, 2007 |
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I.B.1 Directives/Advisories | |||
I.B.2. Waiver Management | |||
I.B.2 Policies | |||
I.B.2 Procedures | |||
I.B.2.PR.001
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Revised |
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Attachments: | |||
1. DMR Forms 219, 222, 223, 224, 225, and 296 |
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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 |
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Attachments - (See Waiver Manual) | |||
1. DMR Forms 219, 222, 223, 224, 225, |
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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 |
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Attachments - (See Waiver Manual) | |||
1. DMR HCBS Waiver Enrollment Packet Forms: | |||
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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 |
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5. Notification of Denial of Request for Additional Waiver Services |
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6. DSS - Request for Administrative Hearing HCBS Waiver for Persons with Mental Retardation |
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7. DMR Connecticut HCBS Waiver Fact Sheet | |||
I.B.2.PR.004 |
Waiver Compliance Review |
September 9, 2004 |
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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 |
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I.C. Services and Supports | |||
I.C. Policies | |||
PO.001 |
Utilization and Resource Review Originally issued as Intensive Staffing Review |
Revised |
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I.C. Procedures | |||
PR.001 |
Utilization and Resource ReviewOriginally issued as PR.001a-Intensive Staffing Review Committee-Statewide |
Revised |
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DMR Utilization Staffing Request Form | ||
Attachment B | Regional Utilization Resource Review Form | ||
PR.001.b |
Intensive Staffing Review Committee – Regional |
Rescinded |
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PR.002 |
Community Based Housing Subsidy Program |
Revised |
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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 |
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PO.003 |
Master File/Individual Record |
Revised
November 30, 2008
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PO.004 |
Regional Responsibility for Service Delivery |
Revised
November 30, 2008
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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
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I.C.1. Procedures | |||
PR.001.a |
Revised
November 30, 2008
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PR.001.b | Service Coordination |
Revised
November 30, 2008
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PR.001.c | Frequency of Case Management Contact |
Revised
November 30, 2008
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Attachment A
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PR.001.d | Automated Data System Maintenance |
Revised
November 30, 2008
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PR.001.e | Targeted Case Management | Revised November 14, 2016 | |
PR.001.f | Case Transfer Procedures | November 30, 2008 | |
Attachment A
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Attachment B
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(PDF)
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Attachment C
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(PDF)
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PR.001.g | Case Management Quality Service Review Procedure | November 30, 2008 | |
PR.002.a | Components of an Individual Plan |
Rev.
September 1, 2008
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Attachment A
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Individual Plan (DOCX)
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Attachment B
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Attachment C
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Attachment D |
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Attachment E |
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PR.002.b | Planning and Support Team |
Rev.
September 1, 2008
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PR.003 |
Master File/Individual Record |
Revised
November 30, 2008
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PR.004 |
Regional Responsibility for Service Delivery |
Revised
November 30, 2008
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PR.005 |
Discontinuance of Services | July 30, 2003 | |
For procedure related to Transfers
see below
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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 |
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PR.003 |
Revised
November 29, 2007
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PR.004 |
Fiscal Intermediary Selection by Individuals and Families | Rev. January 26, 2006 |
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PR.005 |
Individual Support Planning | Rescinded April 4, 2007 |
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PR.006 |
Individual Budget | Rev. January 26, 2006 |
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PR.007 |
Individual Support Agreement Authorization Process | Rev. May 1, 2009 |
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Attachment A:
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Self-Directed Support Agreement | ||
Attachment B:
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PR.008 |
Individual Support Agreement Fiscal Management | Rev. June 1, 2009 |
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Attachment A:
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Attachment B:
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Attachment C:
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PR.009 |
Individual Support Prior Approval Process |
Revised
January 1, 2011
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Attachment A |
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Attachment B | |||
Attachment C | |||
Attachment D |
See I.C.2.PR.014 Family Hires
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Rescinded
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PR.010 |
Request for Proposals for Fiscal Intermediaries | Revised January 26, 2006 |
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PR.011 |
Fiscal Intermediary Contracting Process | Revised January 26, 2006 |
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PR.012 |
Fiscal Intermediary Contracting Management |
Revised
August 10, 2010
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Attachment A:
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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
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I.C.2.PR.013 Attachment A: Employer of Record (EOR) Acknowledgement and Release of Liability Template
(Spanish Version) |
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PR.014 |
Family Hires |
Effective
July 1, 2013
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Attachment A: Case Management Guidelines for Monitoring Family Member, Relative or Significant Other Direct-Hires (DOC)
Attachment B: DDS Family Hire Review Form (DOC)
Attachment C: Self-Directed Support Agreement (DOCX)
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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 |
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I.C.3. Procedures | |||
PR 001a |
Respite Center Eligibility and Referrals |
April 24, 2007 |
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PR 001b |
Respite Center Pre-admission |
April 24, 2007 |
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PR 001c |
Respite Center Admission, Visitation and Discharge |
Revised |
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PR 001d |
Respite Center Operations and Oversight |
April 24, 2007 |
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Attachment A
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Family Respite Center Packet | ||
PR.002 |
Individual and Family Grants |
Revised |
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I.C.3.PR.002 Attachment D - Individual and Family Grant Provider Payment Log |
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I.C.3.PR.002 Attachment E - Individual and Family Grant Request & Need Checklist
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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
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PR.001 |
June 1, 2011
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Attachment B DDS BSP Family Handbook
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PR.002 |
Out of Home Treatment/Placement Requests |
April 4, 2007
Under Review 2015
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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 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
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5. Employment and Day Supports | |||
I.C.5. Employment and Day Supports Policies |
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I.C.5.PO.001
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Repealed September 24, 2024 |
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I.C.5 Employment and Day Support Procedures
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I.C.5.PR.001
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September 24, 2024 |
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I.C.5 Employment and Day Supports Directives Reserved for future use
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6. Living Arrangements | |||
7. Forensic Services | |||
I.D. Quality Enhancement | |||
I.D. Quality Enhancement Policies | |||
PO.001 |
March 15, 2002
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PO.002 |
Root Cause Analysis |
Revised
June 23, 2011
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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 |
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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 |
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Attachment A - Telephone Report to the Office of the Chief Medical Examiner of Death of DMR Client | |||
PR.004 |
Autopsies | Revised March 15, 2002 |
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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 |
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Attachment A:
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Attachment B:
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Attachment C:
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Attachment D:
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Attachment E:
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Attachment F:
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Attachment G:
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Attachment H:
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Attachment I:
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Attachment J:
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Attachment K:
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Attachment L:
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PR.009a |
March 13, 2006 |
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Attachment A: DDS Incident Report form 255OH/Fam
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Attachment B: Definitions form 255OH/Fam
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Attachment C: Instructions for completing report form 255OH/Fam
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Attachment D: Restraint Log OH/Fam
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Attachment E: Instructions for Completing Restraint Log
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Attachment F: DMR Missing Person form | |||
Attachment G: DMR Missing Person form Instructions
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Attachment H: DMR Incident Report Follow-up Form
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PR.010 |
Missing Person Reporting Topic covered in PR.009 and PR.009a |
Rescinded |
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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
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Attachment A - | Root Cause Analysis Report Form | ||
PR.013 |
June 7, 2002 |
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PR.014 |
November 8, 2010 |
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PR.014 |
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PR.014 |
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PR.014 |
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PR.014 |
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PR.014 |
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PR.014 |
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PR.014 |
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PR.014 |
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I.D.PR.015 |
November 8, 2010 |
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PR.015 |
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PR.015 |
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PR.015 |
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PR.015 |
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PR.015 |
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PR.015 |
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PR.015 |
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I.D. Directives/Advisories | |||
I.E. Health and Safety | |||
I.E. Health and Safety Policies
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PO.005
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Revised
June 28, 2010
Rescinded March 31, 2022 |
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PO.007 |
End of Life Decisions | May 26, 2004 | |
I.E. Health and Safety Procedures
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PR.002 | Bed & Side Rail Safety, Assessments and Audits | Effective: August 1, 2023 |
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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
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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 I.E.PR004 Attachment F: PRC Medication Prescriber's Treatment Plan
(Optional Form, used only if prescriber does not have his or her own Treatment Plan form)
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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 |
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Attachment C: PRC Consent for Treatment | |||
Attachment D: ICF/IID Request for PRC Interim Approval | |||
Attachment E: Request for Exemption from the PRC Review Process
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Attachment F: PRC Medication Prescriber's Treatment Plan
(Optional Form, used only if prescriber does not have his or her own Treatment Plan form)
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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 |
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Attachment A:
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OBRA Preadmission Screening Level II
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Attachment B:
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Preadmission Screening Determination Notification
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Attachment C:
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DDS Contact Sheet
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Attachment D:
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Advanced Directive Client Status with DDS
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Attachment E: |
Placement Request for OBRA Participant
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PR.006 |
Pre-sedation of Medical/Dental Procedures(Originally issued as PR.008) |
Revised
July 1, 2009
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Attachment A: |
PRC/HRC Review of Pre-Secation for Medical/Dental Care
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Attachment B: |
Considerations for Pre-sedation for Medical/Dental Care
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Attachment C: |
Consent for Treatment Form
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Attachment D: |
Use of Pre-Medication for Medical/Dental Care Tracking
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PR.007.a |
Advance Directives (Living Wills) | May 26, 2004 | |
PR.007.b |
May 26, 2004
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PR.007.c |
Revised
September 14, 2010
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Attachment A:
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Review of Do Not Resuscitate (DNR) Orders | ||
Attachment B:
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Attachment C:
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Attachment D:
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PR.008 |
RN On Call System |
February 28, 2005 |
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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 |
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I.F. Human Rights and Legal Responsibilities | |||
I.F. Policies: | |||
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I.F.PO.004 I.F.P.O.005 |
Effective
April 8, 2005
Effective
June 12, 2014
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I.F.PO.006 |
Human Rights Committee(replaces DMR Policy #6 - Human Rights Committee) |
Revised
July 1, 2009
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I.F. Procedures: | |||
I.F.PR.001 |
Abuse and Neglect/Allegations: Reporting |
Revised
June 30, 2021
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I.F.PR.002 |
Revised
June 30, 2021
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I.F.PR.003
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Revised
June 30, 2021
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I.F.PR.004 |
Abuse and Neglect/Investigations: Recommendations, Protective Services and Prevention Activities
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Revised
June 30,2021
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I.F.PR.005 |
Revised
June 30, 2021
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I.F.PR.006a |
Abuse and Neglect/DDS Abuse and Neglect Registry |
Revised
June 30, 2021
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I.F.PR.007a | Abuse and Neglect/Access to the DDS Abuse and Neglect Registry |
Revised |
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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 |
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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
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Abuse and Neglect Attachments: | ||
I.F.PO.001
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Attachment A | DDS and OPA Interagency Agreement | |
I.F.PO.001
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Attachment B | DDS Investigation Report | |
I.F.PO.001
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Attachment C | DDS Abuse/Neglect Investigation Review Form | |
I.F.PO.001
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Attachment D | DDS Abuse/Neglect Registry: Monitoring Printable Form | |
I.F.PO.001
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Attachment E | DDS Abuse/Neglect Registry: Monitoring Template Format | |
I.F.PO.001
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Attachment F | Notification of Termination or Separation for Registry Purposes Printable Form | |
I.F.PO.001
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Attachment H | DDS Intake Printable Form | |
I.F.PO.001
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Attachment I | DDS Intake Template Format | |
I.F.PO.001
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Attachment J | DDS False Claims Act/Misuse of State Funds Report Form | |
I.F.PO.001
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Attachment K | OPA Sample Intake Referral | |
I.F.PO.001
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Attachment L | OPA Sample M-5 | |
I.F.PO.001
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Attachment M | DDS and OPA Frequent Reporting Protocol | |
I.F.PO.004
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Interpreter/Translation Procedures: | ||
I.F.PR.008
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Revised
August 14, 2009
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I.F.PO.006
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Human Rights Committees Procedures: | ||
I.F.PR.006 |
Regional Human Rights Committee |
Revised |
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I.F.PO.006
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Human Rights Committee Attachments: | ||
I.F.PO.006
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Guidelines to Prepare for Human Rights Committee Presentation | ||
I.F.PO.006
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Request for Human Rights Committee Review Form | ||
I.F.PO.006
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Consent for Treatment Form | ||
I.F.PO.006
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Human Rights Committee Flow Chart | ||
I.F.PO.006
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Attachment E
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Human Rights Committee Face Sheet | |
I.F.PO.006
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Attachment F | Respite Center Letter | |
I.F.PO.006
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Attachment G | Choosing PRC or HRC Review | |
I.F.PR.007
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Personal Funds Financial Management Procedures: | ||
I.F.PR.007
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Effective
January 26, 2007
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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
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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
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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.010 Attachment A DDS Self Advocate Coordinator's
Disability Awareness/People First Language Pledge |
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I.F.PR.011 Programmatic Administrative Reviews (PAR) Procedure: I.F.PR.11 Programmatic Administrative Reviews (PAR) Revised November 15, 2019 |
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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 |
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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) |
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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
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I.F.Adv.003 |
The Use of Clients’ Personal Funds for Donations to Their Support Provider |
Effective
February 14, 2005
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I.F.DR.004
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Revised
July 19, 2010
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I.G. Qualified Providers | |||
I.G. Qualified Providers Policies
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I.G.PO.001 |
Effective
February 1, 2011
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I.G.PO.002 |
Effective
March 1, 2002
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I.G. Qualified Providers Procedures
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I.G.PR.001 |
Revised
February 1, 2011
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I.G.PR.001 |
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I.G.PR.002 |
Revised
October 28, 2003
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I.G.PR.003 |
Effective
August 1, 2008
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I.G.PR.004 |
Effective
August 1, 2011
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I.G.PR.004 |
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I.G.PR.005 |
Revised
May 21, 2014
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I.G.PR.005 |
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I.G.PR.005 |
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I.G.PR.005 |
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I.G.PR.006 |
Revised
April 16, 2009
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I.G.PR.007 |
Effective
October 1, 2012
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I.G.PR.008 |
Revised:
August 1, 2018
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I.G.PR.009 |
Independent Contractor or Consultant Ethics Compliance Protocol |
Revised:
November 14, 2016 |
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I.G.PR.009 Attachment A Hiring of a Relative by an Independent Contractor or
Consultant Check List |
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I.G.PR.009 Attachment B Approval of Staff Expense Payments for Accompanying an
Individual to an Activity or Event Check List |
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I.G.PR.009 Attachment C Related Party Transactions Check List
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I.G.P.R.010 | Qualified Provider State Criminal Background Checks for Purposes of Employment |
Effective: |
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I.H. Health Standards
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I.H. Health Standards
Health Standard No. 22-1 Preadmission Screening for Persons Applying for Nursing Facility Admission (OBRA) Revised: March 31,2022 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
Health Standard No. 16-2 Safe Eating and Drinking Guidelines for Individuals with Swallowing Difficulties (Dysphagia) Revised: December 1, 2016
HS No. 16-2 Attachment A Swallowing Episode Report Form (SERF) and Instructions
HS No. 16-2 Attachment B Bedside Swallow Evaluation
HS No. 16-2 Attachment C Aspiration Precautions Sample Protocol
HS No. 16-2 Attachment D Reflux Precautions Sample Protocol
HS No. 16-2 Attachment E Guidelines for Consistency Modifications of Food and Liquids
HS No. 16-2 Attachment F Site Meal Observation Documentation Form
HS No. 16-2 Attachment G Individual Meal Observation Documentation Form
Health Standard No. 16-1 Healthcare and Nursing Services for Individuals
Receiving DDS Individualized Home Supports (IHS)
Health Standard No. 14-1 Interpretive Guidelines for the DDS Regulations Concerning the Administration of Medication by Certified Unlicensed Personnel
Health Standard No. 09-2 Guidelines for Deferred, Limited, or Declined Healthcare
HS 09-2 Attachment A Deferred Limited and Declined Care Progress Note
HS 09-2 Attachment B Deferred Limited and Declined Care Review Form
Health Standard No. 09-1 Routine Preventative Health Care
HS 09-1 Attachment A Attachment A - Minimum Preventative Care Guidelines for Persons with Intellectual/Developmental Disabilities
HS 09-1 Attachment B Attachment B - Health Problem and Health History List
HS 09-1 Attachment C Attachment C - Family Health History Form
Health Standard No. 2000-1 Infection Control
Health Standard No. 98-6 Guidelines for Neurological Care of DDS Clients with Epilepsy
Health Standard No. 98-3 Practical Guidelines for Care of Persons with Down Syndrome and Dementia
Health Standard No. 98-2 Guidelines for Management of Clients with Vancomycin Resistant Enterococci in DDS Operated or Funded Facilities or Programs
Health Standard No. 98-1 Guidelines for Management of Individuals with Methicillin- Resistant Staphylococcus aureus in DDS Operated or Funded Facilities or Programs
Health Standard No. 97-3 Guidelines for Prevention of Bloodborne Pathogens (HIV & HBV) for DDS Clients
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. 09-2 Care of Persons with Jejunostomy Tubes or Gastrojejunal Tubes
NP 09-2 Attachment A Check feeding tube placement by comparison of tube markings
NP 09-2 Attachment B Checking feeding tube placement by measurement of tube length
Nursing Protocol No. 09-1 Care of Persons with Gastrostomy Tubes
NP 09-1 Attachment A Checking Placement of Feeding Tubes By Comparison of Tube Markings
NP 09-1 Attachment B Checking Placement of Feeding Tubes Using Measurement of Tube Lengths
Nursing Standard No. 09.4 On-Site Practicum Process
NS 09.4 Attachment A-1 On-Site Practicum/Checklist A
NS 09.4 Attachment A-2 Guidelines for Checklist A of the On-Site Practicum Process
NS 09.4 Attachment B-1 On-Site Practicum/Checklist B
NS 09.4 Attachment B-2 Guidelines for Checklist B of the On-Site Practicum Process
Nursing Standard No. 09.3 LPN Participation In Medication Administration Certification Process
NS 09.3 Attachment A LPN Authorization Qualifications and Application
NS 09.3 Attachment E Authorized LPN Performance Evaluation
Nursing Standard No. 09.2 Medications Administered On An As Needed/PRN Basis
Nursing Standard No. 09.1 Nursing Process
Nursing Standard No. 99.1 Medication Administration by Licensed Staff
NS 99.1 Attachment A I.D.PR.015 Medication Administration Sanctions Process for Lecensed Nurses
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
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I.H.1. Privacy | |||
I.H.1. Policies | |||
PO.001 |
Privacy of Health Information |
May 13, 2005 |
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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 |
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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 |