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DIDD Policies

    Effective
Date		 Summary
of
Revisions
P-003 Recoupment and Sanctions Policy (PDF) 10/06  
Human Resources
10.2.7 Title VI Compliance (PDF, WORD) 10/1/2012 WORD FILE
  Title VI Complaint Form (WORD )    
10.4.1 Intern Policy (PDF, WORD) 5/15/13  
  A Student Intern Application Form (PDF, WORD)    
  B Student Intern Program Plan (PDF, WORD)    
  C Student Intern Service Agreement (PDF, WORD)    
  D Student Intern Evaluation (PDF, WORD)    
Policy & Innovation
30.1.2 Policy Committee (PDF, WORD) 7/1/12 WORD FILE
30.1.6 Exemption Policy (PDF, WORD) 5/5/12 WORD FILE
  Exemption Request Form    
Quality Management
70.1.1 Fiscal Accountability Review Policy (PDF, WORD) 8/3/12 WORD FILE
70.2.1 Reporting Fraud Waste and Abuse of Government Funds and Property (PDF, WORD) 8/3/12 WORD FILE
Program Operations
80.2.1 Abuse Neglect Prevention Committee (PDF, WORD) 8/3/12 WORD FILE
80.2.2 Abuse Registry Review Committee (PDF, WORD) 5/2/13  
80.3.2 Level of Care Reevaluations Policy (PDF, WORD) 8/3/12 WORD FILE
  Guidelines LOC Reevaluations & Annual Reevaluation LOC (PDF, WORD)    
80.3.4 Authorization of Services (PDF, WORD) 3/15/13 WORD FILE
  ISP with Person Centered Prompts (WORD)    
  Annual ISP Review and Update Documentation (WORD)    
  ISC/CM Monthly Documentation Form (PDF)    
80.3.5 Continued Stay for Children Enrolled in Waiver Before Age Six (PDF, WORD) 8/3/12 WORD FILE
80.3.6 Amending the Initial Plan of Care Before Development of the ISP (PDF, WORD) 8/3/12 WORD FILE
  Amending the Initial Plan of Care Form (PDF, WORD)    
80.3.7 Requests for Emergency Service Authorization (PDF, WORD) 7/6/12 WORD FILE
  Request for Emergency Service Authorization form (PDF, WORD)    
80.3.8 Termination of Participant Direction of Waiver Services (PDF, WORD) 10/10/12 WORD FILE
80.4.1 Program Participant Experience Surveys (PDF, WORD) 7/6/12 WORD FILE
80.4.2 Medicaid HCBS Waiver Personal Assistance Services (PDF, WORD) 10/10/12 WORD FILE
80.4.3 Personal Funds Management (PDF, WORD) 9/17/12 WORD FILE
80.4.4 Electronic Records and Signatures (PDF, WORD) 10/10/12 WORD FILE
80.4.6 Sanctions (PDF, WORD) 3/15/13 WORD FILE
  Examples of Violations (PDF, WORD)    
80.4.7 Community Transition Policy (PDF, WORD) 6/1/12 WORD FILE
  Community Transition Planning Form (PDF, WORD)    
  Community Transition Notify Form (PDF, WORD)    
80.4.8 Limited English Proficiency Policy (PDF, WORD) 10/1/12 WORD FILE
80.5.1 Establishment Funds (PDF, WORD) 10/1/12 WORD FILE
80.5.2 Housing Cost Subsidy (PDF, WORD) 10/10/12 WORD FILE
  Housing Cost Subsidy Form (PDF, EXCEL)    
  Instructions for Completing Housing Costs Subsidy (PDF)    
80.5.3 Vehicle Protective Barrier Subsidy (PDF, WORD) 10/10/12 WORD FILE
  Vehicle Protective Barrier Subsidy Form (PDF, WORD)    
80.5.4 Transportation Cost Subsidy (PDF, WORD) 10/1/12 WORD FILE
  Transportation Subsidy Cost Form (WORD)    
Health Services
90.1.1 Nursing Health Care Management (PDF, WORD) 3/23/12 WORD FILE
90.1.2 Death Review Policy (PDF, WORD) 3/23/12  
  Reportable Incident Forms
Reportable Incident Form Instructions and Definitions (PPT)
West Region (WORD)
Middle Region (WORD)
East Region (WORD)		    
  Death Review Attendance Form (PDF, WORD)    
  Notice of Death Form (PDF, WORD)    
  Initial Agency Death Review Form (PDF, WORD)    
  Links
End-of-Life Planning ResourcesTennessee Department of Health for Advance Directives, Physician Orders Scope of Treatment (POST),Do-Not-Resuscitate Orders (DNR's)
Last Passages		    
Intermediate Care Facilities for Individuals with Intellectual Disabilities
100.1.1 Protection From Harm (PDF) 5/28/13  
100.1.5 Personal Property (PDF, WORD) 7/6/12 WORD FILE
100.1.8 Individual Support Planning Process (PDF, WORD) 3/15/13 WORD FILE
  ISP with Person Centered Prompts Form (WORD)    
100.1.15 Staff Development (PDF, WORD) 11/27/12 WORD FILE
100.1.16 Leave and Attendance (PDF, WORD) 11/27/12 WORD FILE
100.1.18 Complaint Resolution (PDF, WORD) 3/15/13 WORD FILE
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