"a system of person-centered, community-based, comprehensive care for individuals with traumatic brain injury (TBI)"
Special Health Care Needs
Division of Community and Public Health
Revised January 2008
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Table of Contents
(All files in .pdf format)
Introduction (01/01/08)
Mission/Core Values (01/01/08)
General Guidelines (01/01/08)
Entry Procedures (01/01/08)
Client Eligibility (01/01/08)
Prior Authorization and Modification of Services (01/01/08)
Available Services (01/01/08)
Table of Contents
(All files in .pdf format)
Introduction (01/01/08)
Mission/Core Values (01/01/08)
General Guidelines (01/01/08)
Entry Procedures (01/01/08)
Client Eligibility (01/01/08)
Prior Authorization and Modification of Services (01/01/08)
Available Services (01/01/08)
- Neuropsychological Evaluation and Consultation (01/01/08)
- Behavioral Assessment and Consultation (01/01/08)
- Adjustment Counseling (01/01/08)
- Transitional Home and Community Support Training (01/01/08)
- Pre-Vocational/Pre-Employment Training (01/01/08)
- Supported Employment/Follow Along (01/01/08)
- Special Instruction (01/01/08)
- Socialization Skills Training (01/01/08)
- Transportation (01/01/08)
Billing Guidelines (01/01/08)
Provider Application/Approval Process (01/01/08)
Treatment Plan and Progress Report (01/01/08)
AHI Provider Qualifications (01/01/08)
Reimbursement Schedule (01/01/08)
Direct Care Worker Competency List (01/01/08)
Forms
Prior Authorization Form – OneForm – Word – PDF
Prior Authorization Modification Form - OneForm - Word - PDF