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PPO (09.2013)
Original Plan of Protective Oversight template.
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Provider Selection Form
Used by participants to choose or change service providers.
SC Monthly Note
Template for documenting monthly service coordination updates.
Service Coordination Selection
Form for participants to select or change a service coordinator.
TBI Addendum in Use (2019)
Addendum template for supplementing existing TBI service plans.
TBI ISP Checklist
Checklist for reviewing Individual Service Plans for TBI participants.
TBI Medicaid Waiver Initiative (2018)
Policy outlining the revised Medicaid TBI Waiver initiative.
TBI RSP in Use (2019, DOC)
Alternate version of the TBI Recipient Service Plan template.
TBI RSP in Use (2019, DOCX)
Recipient Service Plan template for TBI waiver participants.
TBI Waiver Renewal (2022)
Official renewal documentation for the TBI Medicaid Waiver program.