Definitions 525-05-05

Legal Reference/Authority 525-05-10

February 1, 2017 - May 31, 2020 - 525-05-10 ML 3582

April 1, 2007 - January 31, 2017 - 525-05-10 ML3490

January 1, 2007 - March 31, 2007 - 525-05-10

May 1, 2006 - December 31, 2006 - 525-05-10

Long Term Services and Supports Options Counseling 525-05-12

January 1, 2021 - June 30, 2022 - 525-05-12 ML 3688

Purpose of Home and Community Based Services 525-05-15

May 1, 2006 - December 31, 2006 - 525-05-15

Funding Sources 525-05-20

May 1, 2006 - May 31, 2008 - 525-05-20

HCBS Program Eligibility Determination 525-05-25-05

May 1, 2020 - April 30, 2023 - 525-05-25-05 ML 3730

July 1, 2015 - April 30, 2019 - 525-05-25-05 ML 3551

January 1, 2015 - June 30, 2015 - 525-05-25-05 ML 3460

January 1, 2007 - December 31, 2014 - 525-05-25-05

May 1, 2006 - December 31, 2006 - 525-05-25-05

Medicaid Waiver for Home and Community Based Services 525-05-25-10

February 1, 2022 - April 30, 2023 - 525-05-25-10 ML 3730

July 1, 2021 - January 31, 2022 - 525-05-25-10 ML 3663

July 1, 2019 - June 30, 2021 - 525-05-25-10 ML 3628

May 1, 2019 - June 30, 2019 - 525-05-25-10 ML 3553

July 1, 2015 - April 30, 2019 - 525-05-25-05 ML 3551

January 1, 2015 - June 30, 2015 - 525-05-25-10 ML 3460

October 16, 2011 - December 31, 2014 - 525-05-25-10

July 1, 2011 - September 15, 2011 - 525-05-25-10

January 1, 2009 - June 30, 2011 - 525-05-25-10

August 1, 2007 - December 31, 2009 - 525-05-25-10

April 1, 2007 - July 31, 2007 - 525-05-25-10

January 1, 2007 - March 31, 2007 - 525-05-25-10

May 1, 2006 - December 31, 2006 - 525-05-25-10

Technology Dependent Medicaid Waiver 525-05-25-12

REPEALED January 31, 2017 - June 30, 2023 - 525-05-25-12 ML 3746

July 1, 2015 - January 31, 2017 - 525-05-25-12 ML 3490

July 31, 2007 - June 30, 2015 - 525-05-25-12 ML 3460

Medicaid Waiver for the Traumatic Brain Injured 525-05-25-15

REPEALED January 1, 2007 ML 3057

July 1, 2006 - December 31, 2006 - 525-05-25-15

May 1, 2006 - June 30, 2006 - 525-05-25-15

Service Payments for the Elderly and Disabled (SPED) 525-05-25-20

July 1, 2023 - June 30, 2023 - 525-05-25-20 ML 3847

July 1, 2022 - June 30, 2023 - 525-05-25-20 ML 3742

February 1, 2022 - June 30, 2022 - 525-05-25-20 ML 3687

November 1, 2021 - January 31, 2022 - 525-05-25-20 ML 3663

July 1, 2021 - October 31, 2021 - 525-05-25-20 ML 3640

July 1, 2020 - June 30, 2021 - 525-05-25-20 ML 3628

June 1, 2020 - June 30, 2020 - 525-05-25-20 ML 3584

January 1, 2020 - May 31, 2020 - 525-05-25-20 ML 3582

July 1, 2019 - December 31, 2019 - 525-05-25-20 ML 3570

April 1, 2017 - June 30, 2019 - 525-05-25-20 ML3553

February 1, 2017 - March 31, 2017 - 525-05-25-20 ML3515

July 1, 2015 - January 31, 2017 - 525-05-25-20 ML3490

April 1, 2012 - June 30, 2015 - 525-05-25-20 ML3460

January 1, 2009 - March 31, 2012 - 525-05-25-20

April 1, 2007 - December 31, 2008 - 525-05-25-20

January 1, 2007 - March 31, 2007 - 525-05-25-20

May 1, 2006 - December 31, 2006 - 525-05-25-20

Expanded Service Payments for the Elderly and Disabled Eligibility (ExSPED) 525-05-25-25

November 1, 2021 - January 31, 2022 - 525-05-25-25 ML 3663

July 1, 2021 - October 31, 2021 - 525-05-25-25 ML 3640

June 1, 2020 - June 30, 2021 - 525-05-25-25 ML 3628

April 1, 2017 - May 31, 2020 - 525-05-25-25 ML 3582

July 1, 2015 - March 31, 2017 - 525-05-25-25 ML 3515

July 1, 2011 - June 30, 2015 - 525-05-25-25 ML 3460

December 1, 2010 - June 30, 2011 - 525-05-25-25

May 1, 2006 - November 30, 2010 - 525-05-25-25

Financial Information for HCBS Programs 525-05-25-30

April 1, 2017 - June 30, 2019 - 525-05-25-30 ML3553

January 1, 2015 - March 31, 2017 - 525-05-25-30 ML 3515

May 1, 2006 - December 31, 2014 - 525-05-25-30

Covered Services 525-05-30

There are no archives for this section.

HCBS Case Management 525-05-30-05

July 1, 2024 - November 30, 2024 - 525-05-30-05 ML 3885

February 1, 2024 - June 30, 2024 - 525-05-30-05 ML 3847

April 1, 2022 to January 31, 2024 - 525-05-30-05 ML 3797

November 1, 2021 - March 31, 2022 - 525-05-30-05 ML 3665

July 14, 2020 - October 31, 2021 - 525-05-30-05 ML 3640

January 1, 2020 - July 13, 2020 - 525-05-30-05 ML 3589

July 1, 2019 - December 31, 2019 - 525-05-30-05 ML 3570

May 1, 2019 - June 30, 2019 - 525-05-30-05 ML 3553

April 1, 2017- April 30, 2019 - 525-05-30-05 ML 3551

February 1, 2017 - March 31, 2017 - 525-05-30-05 ML 3515

July 1, 2015 - January 31, 2017 - 525-05-30-05 ML 3490

January 1, 2015 - June 30, 2015 - 525-05-30-05 ML 3460

June 1, 2012 - December 31, 2014 - 525-05-30-05

April 1, 2012 - May 31, 2012 - 525-05-30-05

September 16, 2011 - March 31, 2012 - 525-05-30-05

July 1, 2011 - September 15, 2011 - 525-05-30-05

December 1, 2010 - June 30, 2011 - 525-05-30-05

January 1, 2010 - November 30, 2010 - 525-05-30-05

July 1, 2009 - December 31, 2009 - 525-05-30-05

January 1, 2009 - June 30, 2009 - 525-05-30-05

June 1, 2008 - December 31, 2008 - 525-05-30-05

August 1, 2007 - May 31, 2008 - 525-05-30-05

April 1, 2007 - July 31, 2007 - 525-05-30-05

January 1, 2007 - March 31, 2007 - 525-05-30-05

July 1, 2006 - December 31, 2006 - 525-05-30-05

May 1, 2006 - June 30, 2006 - 525-05-30-05

Adult Day Care 525-05-30-10

July 1, 2021 - October 31, 2021 - 525-05-30-10 ML 3640

May 1, 2019 - June 30, 2021 - 525-05-30-10 ML 3628

January 1, 2015 - April 30, 2019 - 525-05-30-10 ML 3551

July 1, 2009 - December 31, 2014 - 525-05-30-10

August 1, 2007 - June 30, 2009 - 525-05-30-10

April 1, 2007 - July 31, 2007 - 525-05-30-10

January 1, 2007 - March 31, 2007 - 525-05-30-10

May 1, 2006 - December 31, 2006 - 525-05-30-10

Adult Family Foster Care 525-05-30-15

July 1, 2023 - February 29, 2024 - 525-05-30-15 ML 3829

May 1, 2023 - June 30, 2023 - 525-05-30-15 ML 3742

November 1, 2021 - April 30, 2023 - 525-05-30-15 ML 3730

May 1, 2019 - October 31, 2021 - 525-05-30-15 ML 3640

February 1, 2017 - April 30, 2019 - 525-05-30-15 ML 3551

July 1, 2015 - January 31, 2017 - 525-05-30-15 ML 3490

January 1, 20115 - June 30, 2015 - 525-05-30-15 ML 3460

September 1, 2012 - December 31, 2014 - 525-05-30-15

July 1, 2009 - August 31, 2012 - 525-05-30-15

January 1, 2009 - June 30, 2009 - 525-05-30-15

April 1, 2007 - December 31, 2008 - 525-05-30-15

January 1, 2007 - March 31, 2007 - 525-05-30-15

May 1, 2006 - December 31, 2006 - 525-05-30-15

Adult Residential Care 525-05-30-16

April 1, 2023 - February 29, 2024 - 525-05-30-16 ML 3829

April 1, 2023 - April 1, 2023 - 525-05-30-16 ML 3723

April 1, 2022 - March 31, 2023 - 525-05-30-16 ML 3719

November 1, 2020 - March 31, 2022 - 525-05-30-16 ML 3685

May 1, 2019 - October 31, 2020 - 525-05-30-16 ML 3599

(was Residential Care 525-05-30-50)

February 1, 2017 - April 30, 2019 - 525-05-30-16 ML 3551

July 1, 2015 - January 31, 2017 - 525-05-30-16 ML 3490

September 1, 2012 - June 30, 2015 - 525-05-30-16 ML 3460

December 1, 2010 - August 31, 2012 - 525-05-30-16

April 1, 2007 - November 30, 2010 - 525-05-30-16

Attendant Care Service 525-05-30-18

REPEALED - July 1, 2023 - ML 3844

July 1, 2015 - January 31, 2017 - 525-05-30-18 ML 3490

June 1, 2007- June 30, 2015 - 525-05-30-18 ML 3460

April 1, 2007 - May 31, 2007 - 525-05-30-18

Chore Service 525-05-30-20

May 1, 2023 - June 30, 2024 - 525-05-30-20 ML 3847

April 1, 2022 - April 30, 2023 - 525-05-30-20 ML 3730

November 1, 2021 - March 31, 2022 525-05-30-20 ML 3685

January 1, 2019 - October 31, 2021 525-05-30-20 ML 3640

January 1, 2009 - December 31, 2018 - 525-05-30-20

April 1, 2007 - December 31, 2008 - 525-05-30-20

January 1, 2007 - March 31, 2007 - 525-05-30-20

May 1, 2006 - December 31, 2006 - 525-05-30-20

Community Support Services 525-05-30-21

February 1, 2024 - June 30, 2024 - 525-05-30-21 ML 3847

December 1, 2024 - January 31, 2024 - 525-05-30-21 ML 3797

July 1, 2023 - November 30, 2023 - 525-05-30-21 ML 3788

April 1, 2023 - June 30, 2023 - 525-05-30-21 ML 3742

March 1, 2023 - March 31, 2023 - 525-05-30-21 ML 3723

July 1, 2022 to February 28, 2023 - 525-05-30-21 ML 3706

February 1, 2022 - June 30, 2022 - 525-05-30-21 ML 3687

November 1, 2021 - January 31, 2022 - 525-05-30-21 ML 3663

July 1, 2021 - October 31, 2021 525-05-30-21 ML 3640

April 27, 2021 - June 30, 2021 - 525-05-30-21 ML 3628

March 15, 2021 - April 26, 2021 - 525-05-30-21 ML 3619

October 23, 2020 - March 14, 2021 - 525-05-30-21 ML 3613

August 17, 2020 - October 22, 2020 - 525-05-30-21 ML 3598

January 1, 2020 - August 16, 2020 - 525-05-30-21 ML 3590

Community Transition Services 525-05-30-22

July 1, 2019 - April 30, 2023 - 525-05-30-22 ML 3730

July 1, 2018 - June 30, 2019 - 525-05-30-22 ML 3553

Companionship Services 525-05-30-23

November 1, 2021 - December 31, 2023 - 525-05-30-23 ML 3789

January 1, 2020 - October 31, 2021 - 525-05-30-23 ML 3640

Environmental Modification 525-05-30-25

April 1, 2022 - March 31, 2023 - 525-05-30-25 ML 3723

February 1, 2022 - March 31, 2022 - 525-05-30-25 ML 3685

January 1, 2019 - January 31, 2022 - 525-05-30-25 ML 3663

April 1, 2017 - December 31, 2018 - 525-05-30-25 ML 3543

February 1, 2017 - March 31, 2017 - 525-05-30-25 ML 3515

July 1, 2015 - January 31, 2017 - 525-05-30-25 ML 3490

December 1, 2010 - June 30, 2015 - 525-05-30-25 ML 3460

January 1, 2009 - November 30, 2010 - 525-05-30-25

August 1, 2007 - December 31, 2008 - 525-05-30-25

April 1, 2007 - July 31, 2007 - 525-05-30-25

January 1, 2007 - March 31, 2007 - 525-05-30-25

May 1, 2006 - December 31, 2006 - 525-05-30-25

Extended Personal Care Service 525-05-30-27

March 1, 2024 - June 30, 2024- 525-05-30-27 ML 3847

February 1, 2024 to February 29, 2024 - 525-05-30-27 ML 3829

April 1, 2023 - January 31, 2024 - 525-05-30-27 ML 3797

March 15, 2023 to March 31, 2023 - 525-05-30-27 ML 3723

November 1, 2021 - March 14, 2023 - 525-05-30-27 ML 3710

June 1, 2020 - October 31, 2021 - 525-05-30-27 ML 3640

May 1, 2019 - May 31, 2020 - 525-05-30-27 ML 3582

February 1, 2017 - April 30, 2019 - 525-05-30-27 ML 3551

July 1, 2015 - January 31, 2017 - 525-05-30-27 ML 3490

January 1, 2015 - June 30, 2015 - 525-05-30-27 ML 3460

January 1, 2014 - December 31, 2014 - 525-05-30-27

April 1, 2012 - December 31, 2013 - 525-05-30-27 - ML 3399

June 1, 2008 - March 31, 2012 - 525-05-30-27

Family Home Care 525-05-30-30

July 1, 2024 - November 30, 2024 - 525-05-30-30 ML 3885

March 1, 2024 - June 30, 2024 - 525-05-30-30 ML 3847

May 1, 2023 - February 29, 2024 - 525-05-30-30 ML 3829

July 1, 2022 - April 30, 2023 - 525-05-30-30 ML 3730

February 1, 2022 - June 30, 2022 - 525-05-30-30 ML 3687

November 1, 2021 - January 31, 2022 - 525-05-30-30 ML 3663

January 1, 2020 - October 31, 2021 525-05-30-30 ML 3640

January 1, 2019 - December 31, 2019 - 525-05-30-30 ML 3570

July 1, 2015 - December 31, 2018 - 525-05-30-30 - ML 3543

September 1, 2012 - June 30, 2015 - 525-05-30-30 ML 3460

July 1, 2009 - August 31, 2012 - 525-05-30-30

January 1, 2009 - June 30, 2009 - 525-05-30-30

June 1, 2008 - December 31, 2008 - 525-05-30-30

April 1, 2007 - May 31, 2008 - 525-05-30-30

January 1, 2007 - March 31, 2007 - 525-05-30-30

May 1, 2006 - December 31, 2006 - 525-05-30-30

Family Personal Care 525-05-30-32

July 1, 2024 - November 30, 2024 - 525-08-30-32 ML 3885

March 1, 2023 -June 30, 2024 - 525-05-30-32 ML 3847

May 1, 2023 - February 29, 2024 - 525-05-30-32 ML 3829

April 1, 2022 - April 30, 2023 - 525-05-30-32 ML 3730

February 1, 2022 - March 31, 2022 - 525-05-30-32 ML 3685

November 1, 2021 - January 31, 2022 - 525-05-30-32 ML 3663

January 1, 2020 - October 31, 2021 525-05-30-32

January 1, 2019 - December 31, 2019 - 525-05-30-32 ML 3570

July 1, 2015 - December 31, 2018 - 525-05-30-32 - ML 3543

January 1, 2008 - June 30, 2015 - 525-05-30-32 ML 3460

June 1, 2008 - December 31, 2008 - 525-05-30-32

Home Delivered Meals 525-05-30-33

July 1, 2023 - September 30, 2024 - 525-05-30-33 ML 3780

November 1, 2021 - June 30, 2023 - 525-05-30-33 ML 3742

June 1, 2020 - October 31, 2021 525-05-30-33 ML 3640

January 1, 2019 - May 31, 2020 - 525-05-30-33 ML 3582

January 1, 2014 - December 31, 2018 - 525-05-30-33 ML 3543

January 1, 2014 - December 31, 2014 - 525-05-30-33

January 1, 2010 - December 31, 2013 - 525-05-30-33

June 1, 2008 - December 31, 2009 - 525-05-30-33

Homemaker Service 525-05-30-35

February 1, 2024 - June 30, 2024 - 525-05-30-35 ML 3847

April 1, 2023 to January 31, 2024 - 525-05-30-35 ML 3797

April 1, 2022 to March 31, 2023 - 525-05-30-35 ML 3723

February 1, 2022 - March 31, 2022 - 525-05-30-35 ML 3685

November 1, 2021 - January 31, 2022 - 525-05-30-35 ML 3663

January 1, 2021 - October 31, 2021 525-05-30-35 ML 3640

January 1, 2020 - December 31, 2020 - 525-05-30-35 ML 3607

July 1, 2019 - December 31, 2019 - 525-05-30-35 ML 3570

January 1, 2019 - April 30, 2019 - 525-05-30-35 ML 3551

July 1, 2015 - December 31, 2018 - 525-05-30-35 - ML 3543

January 1, 2015 - June 30, 2015 - 525-05-30-35 ML 3460

December 1, 2010 - December 31, 2014 - 525-05-30-35

July 1, 2009 - November 30, 2010 - 525-05-30-35

January 1, 2007 - June 30, 2009 - 525-05-30-35

May 1, 2006 - December 31, 2006 - 525-05-30-35

Non-Medical Transportation 525-05-30-40

November 1, 2021 - March 31, 2023 525-05-30-40 ML 3723525_05_30_40 ML3723.htm

January 1, 2021 - October 31, 2021 525-05-30-40 ML 3640

January 1, 2020 - December 31, 2020 - 525-05-30-40 ML 3607

January 1, 2019 - December 31, 2019 - 525-05-30-40 ML 3570

April 1, 2012 - December 31, 2018 - 525-05-30-40 - ML 3543

December 1, 2010 - March 31, 2012 - 525-05-30-40

January 1, 2010 - November 30, 2010 - 525-05-30-40

April 1, 2007 - December 31, 2009 - 525-05-30-40

April 1, 2007 - June 30, 2009 - 525-05-30-40

January 1, 2007 - March 31, 2007 - 525-05-30-40

May 1, 2006 - December 31, 2006 - 525-05-30-40

Nursing Assessment 525-05-30-42

July 1, 2018 - April 30, 2023 - 525-05-30-42 ML 3790

Personal Care Service 525-05-30-45

March 1, 2024 - November 30, 2024 - 525-05-30-45 ML 3885

November 1, 2021 - February 29, 2024 - 525-05-30-45 ML 3829

January 1, 2020 - October 31, 2021 525-05-30-45 ML 3640

May 1, 2019 - December 31, 2019 - 525-05-30-45 ML 3570

January 1, 2019 - April 30, 2019 - 525-05-30-45 ML 3551

July 1, 2015 - December 31, 2018 - 525-05-30-45 - ML 3543

December 1, 2010 - June 30, 2015 - 525-05-30-45 ML 3460

May 1, 2006 - November 31, 2010 - 525-05-30-50

Residential Habilitation 525-05-30-50

February 1, 2024 June 30, 2024- 525-05-30-50 ML 3847

December 1, 2023 - January 31, 2024 - 525-05-30-50 ML 3797

July 1, 2023 - November 30, 2023 - 525-05-30-50 ML 3788

April 1, 2023 - June 30, 2023 - 525-05-30-50 ML 3742

March 1, 2023 to March 31, 2023 - 525-05-30-50 ML 3723

July 1, 2022 to February 28, 2023 - 525-05-30-50 ML 3706

February 1, 2022 to June 30, 2022 - 525-05-30-50 ML 3687

November 1, 2021 - January 31, 2022 - 525-05-30-50 ML 3663

July 1, 2021 - October 31, 2021 525-05-30-50 ML 3640

April 27, 2021 - June 30, 2021 - 525-05-30-50 ML 3628

March 15, 2021 - April 26, 2021 - 525-05-30-50 ML 3619

October 23, 2020 - March 14, 2021 - 525-05-30-50 ML 3613

August 17, 2020 - October 22, 2020 - 525-05-30-50 ML 3598

January 1, 2020 - August 16, 2020 - 525-05-30-50 ML 3590

There are no archives for this section (Name Change)

REPEALED April 1, 2007 ML 3077 - replaced with new number, 525-05-30-16

January 1, 2007 - March 31, 2007 - 525-05-30-50

May 1, 2006 - December 31, 2006 - 525-05-30-50

Respite Care Service 525-05-30-55

November 1, 2021 to April 30, 2023 - 525-05-30-55 ML 3730

January 1, 2019 - October 31, 2021 525-05-30-55 ML 3640

July 1, 2015 - December 31, 2018 - 525-05-30-55 - ML 3543

January 1, 2015 - June 30, 2015 - 525-05-30-55 ML 3460

January 1, 2010 - December 31, 2014 - 525-05-30-55

July 1, 2009 - December 31, 2009 - 525-05-30-55

April 1, 2007 - June 30, 2009 - 525-05-30-55

January 1, 2007 - March 31, 2007 - 525-05-30-55

May 1, 2006 - December 31, 2006 - 525-05-30-55

Specialized Equipment and Supplies 525-05-30-60

February 1, 2022 - March 31, 2022 - 525-05-30-60 ML 3685

January 1, 2019 - January 31, 2022 - 525-05-30-60 ML 3663

April 1, 2017 - December 31, 2018 - 525-05-30-60 - ML 3543

July 1, 2015 - March 31, 2017 - 525-05-30-60 ML 3515

August 1, 2007 - June 30, 2015 - 525-05-30-60 ML 3460

April 1, 2007 - July 31, 2007 - 525-05-30-60

January 1, 2007 - March 31, 2007 - 525-05-30-60

May 1, 2006 - December 31, 2006 - 525-05-30-60

Supervision 525-05-30-63

April 1, 2023 - February 29, 2024 - 525-05-30-63 ML 3829

April 1, 2022 to March 31, 2023 - 525-05-30-63 ML 3723

February 1, 2022 - March 31, 2022 - 525-05-30-63 ML 3685

November 1, 2021 - January 31, 2022 - 525-05-30-63 ML 3663

May 1, 2019 - October 31, 2021 - 525-05-30-63 ML 3640

July 1, 2015 - April 30, 2019 - 525-05-30-63 ML 3551

December 31, 2014 - June 30, 2015 - 525-05-30-63 ML 3460

Supported Employment Services 525-05-30-65

April 1, 2017 - April 30, 2019 - 525-05-30-65 ML 3551

January 1, 2015 - March 31, 2017 - 525-05-30-65 ML 3515

August 1, 2007 - December 31, 2014 - 525-05-30-65

April 1, 2007 - July 31, 2007 - 525-05-30-65

January 1, 2007 - March 31, 2007 - 525-05-30-65

May 1, 2006 - December 31, 2006 - 525-05-30-65

Transitional Living 525-05-30-70

January 1, 2019 - October 31, 2021 - 525-05-30-70 ML 3640

July 1, 2015 - December 31, 2018 - 525-05-30-70 - ML 3543

January 1, 2015 - June 30, 2015 - 525-05-30-70 ML 3460

January 1, 2014 - December 31, 2014 - 525-05-30-70

December 1, 2010 - December 31, 2013 - 525-05-30-70 ML 3399

August 1, 2007 - November 30, 2010 - 525-05-30-70

April 1, 2007 - July 31, 2007 - 525-05-30-70

January 1, 2007 - March 31, 2007 - 525-05-30-70

May 1, 2006 - December 31, 2006 - 525-05-30-70

Waiver Personal Care 525-05-30-75

March 1, 2024 - November 30, 2024 - 525-05-30-75 ML 3885

NEW: March 1, 2024 - 525-05-30-75 ML 3829

Maximum Monthly Amount - Aggregate and Per Service 525-05-35

March 1, 2024 - June 30, 2024 - 525-05-35 ML 3847

July 1, 2023 - February 29, 2024 - ML 3829

July 1, 2022 - June 30, 2023 - 525-05-35 ML 3742

February 1, 2022 to June 30, 2022 - 525-05-35 ML 3687

July 1, 2021 - January 31, 2022 - 525-05-35 ML 3663

July 1, 2020 - June 30, 2021 - 525-05-35 ML 3628

January 1, 2020 - June 30, 2020 525-05-35 ML 3584

July 1, 2019 - December 31, 2019 - 525-05-35 ML 3570

February 1, 2017 - June 30, 2019 - 525-05-35 ML 3553

July 1, 2015 - January 31, 2017 - 525-05-35 ML 3490

June 30, 2015 - 525-05-35 ML 3460

January 1, 2014 - 525-05-35 ML 3405

July 1, 2013 - 525-05-35 ML 3399

September 1, 2012 - June 30, 2013 - 525-05-35 - ML 3376

June 1, 2012 - August 31, 2012 - 525-05-35 - ML 3347

July 1, 2011 - May 31, 2012 - 525-05-35 - ML 3335

December 1, 2010 - June 30, 2011 - 525-05-35 - ML 3273

January 1, 2010 - November 30, 2010 - 525-05-35 - ML 3252

July 1, 2009 - December 31, 2009 - 525-05-35 - ML 3214

January 1, 2009 - June 30, 2009 - 525-05-35 - ML 3188

June 1, 2008 - December 31, 2008 - 525-05-35 - ML 3173

August 1, 2007 - May 31, 2008 - 525-05-35 - ML 3144

April 1, 2007 - July 31, 2007 - 525-05-35 - ML 3106

January 1, 2007 - March 31, 2007 - 525-05-35 - ML 3077

July 1, 2006 - December 31, 2006 - 525-05-35 - ML 3057

May 1, 2006 - June 30, 2006 - 525-05-35 - ML 3041

Rural Differential Rates 525-05-38

July 1, 2024 - November 30, 2024 - 525-05-38 ML 3885

February 1, 2023 -June 30, 2024 - 525-05-38 ML 3847

May 1, 2019 - January 31, 2022 - 525-05-38 ML 3663

February 1, 2017 - April 30, 2019 - 525-05-38 ML 3551

July 1, 2015 - January 31, 2017 - 525-05-38 ML 3490

June 30, 2014 - June 30, 2015 - 525-05-38 ML 3460

Closures, Denials, Terminations, and Reductions of Services 525-05-40

May 1, 2023 - January 31, 2024 - 525-05-40 ML 3797

February 1, 2022 - April 30, 2023 - 525-05-40 ML 3730

November 1, 2021 - January 31, 2022 - 525-05-40 ML 3663

July 1, 2021 - October 31, 2021 - 525-05-40 ML 3640

January 1, 2020 - June 30, 2021 - 525-05-40 ML 3628

January 1, 2020 - December 31, 2020 - 525-05-40 ML 3607

May 1, 2019 - December 31, 2019 - 525-05-40 ML 3570

April 1, 2017 - April 30, 2019 - 525-05-40 ML 3551

February 1, 2017 - March 31, 2017 - 525-05-40 ML 3515

April 1, 2012 - January 31, 2017 - 525-05-40 ML 3490

January 1, 2010 - March 31, 2012 - 525-05-40 - ML 3325

August 1, 2007 - December 31, 2009 - 525-05-40 - ML 3214

April 1, 2007 - July 31, 2007 - 525-05-40 - ML 3106

May 1, 2006 - March 31, 2007 - 525-05-40 - ML 3077

Critical Incident Reporting 525-05-42

November 1 2021 - February 28, 2023 - 525-05-42 - ML 3706

July 1, 2021 - October 31, 2021 525-05-42 ML 3640

July 1, 2018 - June 30, 2021 - 525-05-42 ML 3627

Standards for Qualified Service Provider 525-05-45

Redacted and split into separate sections April 1, 2023 - February 29, 2024 - ML 3846

April 1, 2022 - March 31, 2023 - 525-05-45 - ML 3723

May 1, 2017 - March 31, 2022 - 525-05-45 - ML 3685

June 1, 2008 - April 30, 2016 - 525-05-45 - ML 3471

January 1, 2007 - May 31, 2008 - 525-05-45 - ML 3144

May 1, 2006 - December 31, 2006 - 525-05-45 - ML 3057

Qualified Service Provider Enrollment 525-05-45-10

Referrals for Qualified Service Providers 525-05-45-20

Qualified Service Provider (QSP) Complaints 525-05-45-30

Qualified Service Provider (QSP) Overtime 525-05-45-40

Paid Family or Household Members/Qualified Service Provider (QSP) Service Agreement - Live in Paid Caregivers 525-05-45-50

March 1, 2024 - November 20, 2024 - 525-05-45-50 - ML 3885

NEW: March 1, 2024 - 525-05-45-50 - ML 3846

Agency Quality Service Provider (QSP) Quality Improvement Program 525-05-45-60

Funding for Provider Assistance with Council on Quality & Leadership (CQL) Accreditation 525-05-47

December 1, 2023 - October 31, 2024 - 525-05-47 - ML 3881

July 1, 2020 - November 30, 2023 - 525-05-47 - ML 3788

COVID-19 Service Flexibility 525-05-50

There are no archives for this section.

Requests for Reasonable Modification 525-05-55

There are no archives for this section

Application for Service, SFN 1047 525-05-60-05

December 1, 2018 - April 30, 2023 - 525-05-60-05 ML 3730

January 1, 2007 - November 30, 2018 - 525-05-60-05 - ML 3543

May 1, 2006 - December 31, 2006 - 525-05-60-05 - ML 3057

Instructions for the Completion of the HCBS Comprehensive Assessment 525-05-60-10

May 1, 2023 - February 29, 2024 - 525-05-60-10 ML 3829

April 1, 2022 - April 30, 2023 - 525-05-60-10 ML 3730

November 1, 2021 - March 31, 2022 - 525-05-30-10 ML 3684

January 1, 2020 - October 31, 2021 - 525-05-60-10 ML 3642

July 1, 2015 - December 31, 2019 - 525-05-60-10 ML 3570

July 1, 2009 - June 30, 2015 - 525-05-60-10 ML 3460

August 1, 2007 - June 30, 2009 - 525-05-60-10 - ML 3188

May 1, 2006 - July 31, 2007 - 525-05-60-10 - ML 3106

Rights and Responsibilities, SFN 1047 525-05-60-12

May 1, 2023 - June 30, 2023 - 525-05-30-12 ML 3742

May 1, 2019 - April 30, 2023 - 525-05-60-12 ML 3730

SPED Program Pool Data SFN 1820 525-05-60-15

May 1, 2019 - December 31, 2019 - 525-05-60-15 ML 3570

July 1, 2015 - April 30, 2019 - 525-05-60-15 ML 3551

April 30, 2006 - June 30, 2015 - 525-05-60-15 ML 3460

SPED Income and Assets SFN 820 525-05-60-20

May 1, 2023 - February 29, 2024 - 525-05-60-20 ML 3829

June 1, 2020 - April 30, 2023 - 525-05-60-20 ML 3730

January 1, 2020 - May 31, 2020 - 525-05-60-20 ML 3582

July 1, 2019 - December 31, 2019 - 525-05-60-20 ML 3570

April 1, 2017 - June 30, 2019 - 525-05-60-20 ML 3553

February 1, 2017 - Marc h 31, 2017 - 525-05-60-20 ML

July 1, 2015 - January 31, 2017 - 525-05-60-20 ML 3490

April 1, 2012 - June 30, 2015 - 525-05-60-20 ML 3460

January 1, 2010 - March 31, 2012 - 525-05-60-20 - ML 3325

July 1, 2009 - December 31, 2009 - 525-05-60-20 - ML 3214

January 1, 2009 - June 30, 2009 - 525-05-60-20 - ML 3188

August 1, 2007 - December 31, 2008 - 525-05-60-20 - ML 3173

January 1, 2007 - July 31, 2007 - 525-05-60-20 - ML 3106

May 1, 2006 - December 31, 2006 - 525-05-60-2- ML 3057

SPED Sliding Fee Schedules 525-05-60-25

July 1, 2023 - June 30, 2024 - 525-05-30-25 ML 3847

July 1, 2021 - June 30, 2022 - 525-05-30-25 ML 3687

July 1, 2020 - June 30, 2021 - 525-05-60-25 ML 3628

July 1, 2019 - June 30, 2020 - 525-05-60-25 ML 3584

July 1, 2009 - June 30, 2019 - 525-05-60-25 ML 3553

May 1, 2006 - June 30, 2009 - 525-05-60-25 - ML 3188

Add New Record to MMIS Eligibility File for SPED SFN 676 525-05-60-30

January 1, 2020 - February 29, 2024 - 525-05-60-30 ML 3829

September 1, 2018 - December 31, 2019 - 525-05-60-30 ML 3570

February 1, 2017 - August 31, 2018 - 525-05-60-30 ML 3543

July 1, 2015 - January 31, 2017 - 525-05-60-30 ML 3490

July 1, 2011 - June 30, 2015 - 525-05-60-30 ML 3460

June 1, 2008 - June 30, 2011 - 525-05-60-30 - ML 3273

August 1, 2007 - May 31, 2008 - 525-05-60-30 - ML 3144

January 1, 2007 - July 31, 2007 - 525-05-60-30 - ML 3106

May 1, 2006 - December 31, 2006 - 525-05-60-30 - ML 3057

Expanded SPED Program Pool Data SFN 56 525-05-60-35

September 1, 2018 - December 31, 2019 - 525-05-60-35 ML 3570

February 1, 2017 - August 31, 2018 - 525-05-60-35 - ML 3543

July 1, 2015 - January 31, 2017 - 525-05-60-35 ML 3490

April 1, 2006 - June 30, 2015 - 525-05-60-35 ML 3460

Add New Record to MMIS Eligibility File for Expanded SPED SFN 677 525-05-60-40

REPEALED July 1, 2011 - June 30, 2015 - 525-05-60-40 ML 3460

May 1, 2006 - June 30, 2011 - 525-05-60-40

Level of Care Determination 525-05-60-45

January 1, 2009 - April 30, 2019 - 525-05-60-45 ML 3551

May 1, 2006 - December 31, 2008 - 525-05-60-45

Explanation of Client Choice, SFN 1597 525-05-60-50

REPEALED September 1, 2018 - November 30, 2022 - 525-05-60-50 - ML 3693

February 1, 2017 - August 31, 2018 - 525-05-60-50 - ML 3543

August 1, 2007 - January 31, 2017 - 525-05-60-50 ML 3490

January 1, 2007 - July 31, 2007 - 525-05-60-50

May 1, 2006 - December 31, 2006 - 525-05-60-50

Nursing Plan of Care, SFN 807 525-05-60-52

Extended Personal Care Service (EPCS) Provider Training Procedure Agreement, SFN 576 525-05-60-57

CSSB Request for HCBS NF Determination, SFN 1288 525-05-60-55

REPEALED January 1, 2009 - June 30, 2015 - 525-05-60-55 ML 3460

January 1, 2007 - December 31, 2008 - 525-05-60-55

July 1, 2006 - December 31, 2006 - 525-05-60-55

May 1, 2006 - June 30, 2006 - 525-05-60-55

SPED/ExSPED Individual Care Plan, SFN 1467 525-05-60-60

REPEALED September 1, 2018 - November 30, 2022 - 525-05-60-60 - ML 3693

February 1, 2017 - August 31, 2018 - 525-05-60-50 - ML 3543

February 1, 2017 - August 31, 2018 - 525-05-60-60- ML 3543

July 1, 2015 - January 31, 2017 - 525-05-60-60 ML 3490

January 1, 2015 - June 30, 2015 - 525-05-60-60 ML 3460

January 1, 2014 - December 31, 2014 - 525-05-60-60

September 16, 2011 - December 31, 2013 - 525-05-60-60

July 1, 2009 - September 15, 2011 - 525-05-60-60

June 1, 2008 - June 30, 2009 - 525-05-60-60

April 1, 2007 - May 31, 2008 - 525-05-60-60

January 1, 2007 - March 31, 2007 - 525-05-60-60

May 1, 2006 - December 31, 2006 - 525-05-60-60

Monthly Rate Worksheet - Live-in Care, SFN 1012 525-05-60-65

May 1, 2023 - February 29, 2024 - ML 3829

September 1, 2018 - April 30, 2023 - 525-05-60-65 ML 3730

February 1, 2017 - August 31, 2018 - 525-05-60-65 - ML 3543

May 1, 2016 - January 31, 2017 - 525-05-60-65 ML 3490

July 1, 2015 - April 30, 2016 - 525-05-60-65 - ML 3471

January 1, 2010 - June 30, 2015 - 525-05-60-65 ML 3460

July 1, 2009 - December 31, 2009 - 525-05-60-65

June 1, 2008 - June 30, 2009 - 525-05-60-65

May 1, 2006 - May 31, 2008 - 525-05-60-65

Authorization to Provide Services for SPED/ExSPED, SFN 1699 525-05-60-70

REPEALED September 1, 2018 - November 30, 2022 - 525-05-60-70 - ML 3693

February 1, 2017 - August 31, 2018 - 525-05-60-50 - ML 3543

February 1, 2017 - August 31, 2018 - 525-05-60-70 ML 3543

July 1, 2015 - January 31, 2017 - 525-05-60-70 ML 3490

January 1, 2015 - June 30, 2015 - 525-05-60-70 ML 3460

January 1, 2014 - December 31, 2014 - 525-05-60-70

December 1, 2010 - December 31, 2013 - 525-05-60-70

January 1, 2010 - November 30, 2010 - 525-05-60-70

May 1, 2006 - December 31, 2008 - 525-05-60-70

Qualified Service Provider (QSP) Service Agreement – Live In paid Caregivers, SFN 1654 525-05-60-72

HCBS Notice of Reduction, Denial or Termination, SFN 1647 525-05-60-75

May 1, 2019 - April 30, 2023 - 525-05-60-75 ML3730

January 1, 2019 - April 30, 2019 - 525-05-60-75 ML 3551

January 1, 2009 - December 31, 2018 - 525-05-60-75 ML - 3543

August 1, 2007 - December 31, 2008 - 525-05-60-75

April 1, 2007 - July 31, 2007 - 525-05-60-75

January 1, 2007 - March 31, 2007 - 525-05-60-75

May 1, 2006 - December 31, 2006 - 525-05-60-75

HCBS Case Closure/Provider Termination, SFN 474 525-05-60-80

November 1, 2021 - January 31, 2022 - 525-05-60-80 ML 3663

January 1, 2019 - October 31, 2021 525-05-60-80 ML 3640

April 1, 2017 - December 31, 2018 - 525-05-60-80 ML 3543

February 1, 2017 - March 31, 2017 - 525-05-60-80 ML 3515

July 1, 2015 - January 31, 2017 - 525-05-60-80 ML 3490

April 1, 2012 - June 30, 2105 - 525-05-60-80 ML 3460

May 1, 2006 - March 31, 2012 - 515-05-60-80

Respite Home Evaluation Form, SFN 659 525-05-60-85

February 1, 2017 - December 31, 2019 - 525-05-60-85 ML 3570

July 1, 2015 - January 31, 2017 - 525-05-60-85 ML 3490

July 1, 2006 - June 30, 2015 - 525-05-60-85 ML 3460

May 1, 2006 - June 30, 2006 - 525-05-60-85

Compliance Checklist Adult Day Care Standards, SFN 1703 525-05-60-90

May 1, 2006 - January 31, 2017 - 525-05-60-90 ML 3490

Request for Attendant Care Services, SFN 944 525-05-60-95

April 1, 2007 - January 31, 2017 - 525-05-60-95 ML 3490

Medicaid Waiver Quality Review, SFN 1154 525-05-60-100

February 1, 2017 - August 31, 2018 - 525-05-60-100 - ML 3543

June 1, 2012 - January 31, 2017 - 525-05-60-100 ML 3490

April 1, 2007 - May 31, 2012 - 515-05-60-100

Medicaid Waiver Person Centered Plan of Care, SFN 404 525-05-60-105

REPEALED September 1, 2018 - November 30, 2022 - 525-05-60-105 - ML 3693

February 1, 2017 - August 31, 2018 - 525-05-60-105 - ML 3543

May 1, 2016 - January 31, 2017 - 525-05-60-105 ML 3490

July 1, 2015 - April 30, 2016 - 525-05-60-105 ML 3471

December 31, 2014 - June 30, 2015 - 525-05-60-105 ML 3460

Preliminary Authorization to Provide Medicaid Waiver Services, SFN 410 525-05-60-107

July 1, 2021 - April 30, 2023 - 525-05-60-107 ML 3730

January 1, 2020 - June 30, 2021 - 525-05-60-107 ML 3628

September 1, 2018 - December 31, 2019 - 525-05-60-107 ML 3570

Rural Differential, Unit Rate Authorization/Closure, SFN 212 525-05-60-110

May 1, 2019 - January 31, 2022 525-05-60-110 ML 3663

February 1, 2017 - April 30, 2019 - 525-05-60-110 ML 3551

January 1, 2015 - January 31, 2017 - 525-05-60-110 ML 3490

Home and Community Based Services (HCBS) Person-Centered Plan of Care 525-05-60-115

August 1, 2022 - April 30, 2023 -525-05-60-115 ML 3730

Risk Assessment & Health and Safety Plan 525-05-60-120

There are no archives for this section.