Papers

ISP PACKAGE

  • Onboarding (Intake)

  • Initial Service Plan

  • Plan of Protective Oversight

  • Insurance, Resource, Fund

  • Waiver Contact List

  • Waiver Participant Rights & Resp.

  • HCSS Abstract

  • * Epaces (Agency Provides)

  • * UAS (Agency Provides)

Office

RSP PACKAGE

  • Revised Service Plan

  • RSP PPO

  • RSP Insurance

  • Waiver Participant Rights & Responsibilities

  • Waiver Contact List

Accounting Documents

ADDENDUM PACKAGE

  • Addendum

  • PPO

  • Insurance, Resource

  • Waiver Rights & Responsibly 

  • Waiver Contact List

Tax Income Reports

SRI FORMS

  • 24 HR (Service Coordination-Internal)

  • 24 HR Serious Reportable Incident

  • 7 Day Follow Up

  • 30 Day Follow Up

  • Investigation Report

Numbers

EmedNY Billing

  • NHTD & TBI Billing

Collating Data

COST REPORT PREPARATION

  • NHTD and TBI Certified Cost Report