? Identify and complete the Start Application/ Pres-screeing questions Technology Dependent Waiver
? Identify and complete the Entering Applicant/Member/Authorized Rep and Emergency Contact Details sections.
? Identify and complete the Request for Evaluation
? Identify and complete the Select a Provider
? Identify and complete the Upload/View Documents for
Entering an Application for a Technology Dependent Waiver
? How to start application and answer pre-screeing questiosn
? How to Enter Details Application for TechnolgyWaiver not in a Facility
? How to enter data and compelte the Request of Evaluation section
? How to enter and complete the Select a Provider for a Technology Dependent Waiver
? How to tenter and complete the Upload/View Documents N
? How to sumbit your application for a Technology Dependent Waiver
Entering an Application for the Technology Dependent Waiver Program for a State User
? Identify and complete the Start Application/ Pres-screeing questions Technology Dependent Waiver
? Identify and complete the Entering Applicant/Member/Authorized Rep and Emergency Contact Details sections.
? Identify and complete the Request for Evaluation
? Identify and complete the Select a Provider
? Identify and complete the Upload/View Documents for
Overview: Utilizing the Application Referral Page for Various Waivers
Introduced to:
? Acces points to Application Referral page through external links in PRISM and Utah Medicaid Webisite
? Aging Waiver
? New Choices Waiver (ALF) (NF) and (Not in a Facility)
? Technolody Dependent Waiver
? Employment-Related Personal Assistant abberviated as EPAS
New Choices Waiver – Agency Transfer Process for a State user
Explain How to process an New Choices Waiver for Initial Enrollment
New Choices Waiver – Substantial Change in Health Status by a State User
Explain How to generate a Denial Letter
New Choices Waiver – Return to Community from Inpatient
Explain How to determine and review level of care for an applicant
New Choices Waiver – Change in Living Arrangement
Explain How to generate a Freedom for Providers For a New Choices Waiver
New Choices Waiver – Processing an Incident Report for a State User
Explain How to collect the leasing and disclosure details for a New Choices Waiver