Guidance & Policy
Forms, Tools & Related Resources
- Bid Request Environmental Accessibility Modifications
- Request for Exception to Three Bid or Lowest Bidder Requirement for Environmental Accessibility Modifications
- Property Owner’s Consent for Environmental Accessibility Modifications
- Property Owner’s Statement of Satisfaction with Environmental Accessibility Modifications
- TB Risk Assessment and Screening Form (Also available as a Word Template)
Policy & Procedure
Protocols & Related Resources
The department has developed protocols to guide the determination of service requests. Following are the protocols with any additional related material.
Protocol Flowcharts
- Requests for 1-Person Companion Model Type Supported Living
- Initial Concurrent Review Assignment by the Plans Reviewer
- Establishing Concurrent Review Dates
- Review Process Using Medical Necessity Protocols
- Process for Transitioning Waiver Services for Children to the TennCare Managed Care Contractor (MCC) Role of the Plans Review Unit
Protocols & Checklists
Download the Complete Protocols & Checklist Kit below (.zip file)
The complete kit includes all items listed below.
Behavior Services & Checklist
Behavioral Respite Services & Checklist
Employment and Day Services & Checklist
Environmental Modifications & Checklist
Family Model Residential & Checklist
Hospital Attendant & Checklist N/A
Individual Transportation Services & Checklist
Intensive Behavioral Residential Services & Checklist
Medical Residential & Checklist
Nursing Services & Checklist
Nutrition Services & Checklist
Occupational Therapy & Checklist
Orientation and Mobility & Checklist
Personal Emergency Response Systems & Checklist
Personal Assistance & Checklist
Physical Therapy & Checklist
Residential Habilitation & Checklist
Respite & Checklist
Semi-Independent Living Services & Checklist
Specialized Medical Equipment & Checklist
Speech, Language and Hearing Services & Checklist
Supported Living & Checklist
Transitional Case Management & Checklist
Effective March 15, 2014
- Frequently Asked Questions
- Annual ISP Review & Update Documentation Form
- Monthly Documentation Form
- Plan Implementation Communication Tool
Resources
Training
- HRC Member Training (PowerPoint)
- Policy 80.6.1 - Human Rights Review Process Training (PDF)