? 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
New Choices Waiver – Substantial Change in Health Status for a Provider
Explain How to review a decision on a New for Initial Enrollment
New Choices Waiver – Adding Supporting Information in a Comprehensive Care Plan for a Provider
Explain How to collect the Facility and Rental Information for a New Choices Waiver
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 – Change in Living Arrangement for a Provider
Explain How to generate a Care Plan PDF form for a New Choices Waiver
New Choices Waiver – Agency Transfer Process for a State user
Explain How to process an New Choices Waiver for Initial Enrollment
New Choices Waiver – Agency Transfer for a Provider
Explain How to provide a second level decision on a New Choices Waiver
New Choices Waiver – Substantial Change in Health Status by a State User
Explain How to generate a Denial Letter
New Choices Waiver – Disenrollment Request for a Provider
Explain How to process an New Choices Waiver for Initial Enrollment for a State user