New Choices Waiver
The New Choices Waiver Program is designed to serve individuals who are residing long term in a nursing facility, licensed assisted living facility, licensed small health care (Type N) facility or another type of Utah licensed medical institution (except institutions for mental disease). The Program offers an option for these individuals to move into integrated community-based settings if they wish to do so and if their needs can be safely met in the setting that they have chosen. When an individual is enrolled in the New Choices Waiver Program, they may receive an expanded package of supportive services through Medicaid which are intended to help with community-based living and are based on the assessed need of the individual. A description of the available services can be found below.
PLEASE NOTE: Individuals who are not currently living in one of the types of facilities listed above are not eligible to apply to the New Choices Waiver Program. There is a minimum length of stay requirement in each type of setting. For more information, please contact the New Choices Waiver Program at (800)662-9651, option 6 or newchoiceswaiver@utah.gov.
For fastest processing, an online application for the New Choices Wavier Program can be accessed here. (First -time applicants will be required to create a UtahID account.)
Paper applications will experience a delay and may be requested via our contact information below.
Please refer to the New Choices Waiver Fact Sheet for more information.
Contact Information
From the Salt Lake City area: 801-538-6155, option 6
Outside the Salt Lake city area: 800-662-9651, option 6
(Phones are staffed 9:00am-12:00pm M-W and F; after these hours there is the option to leave a voicemail which will be returned within a few business days)
Email: newchoiceswaiver@utah.gov
Fax: 801-323-1586
Mailing:
UDOH Bureau of Long Term Services & Supports
P.O. Box 143112
288 N 1460 W
SLC, UT 84114-3112
Services
New Choices Waiver offers an expanded package of supportive services that are intended to facilitate a participant's ability to reside in a home or community-based setting. Services are available based on the assessed need of the participant and include those listed below. The New Choices Waiver Description of Services provides a brief description of each service.
Adult Day Care | Financial Management Services |
Adult Residential Services | Habilitation Services |
Assistive Technology Devices | Home Delivered Meals |
Attendant Care | Homemaker Services |
Caregiver Training | Medication Assistance Services |
Case Management | Non-medical Transportation |
Chore Services | Personal Budget Assistance |
Community Living Services | Respite Care |
Consumer Preparation Services | Specialized Medical Equipment |
Emergency Response Systems | Supportive Maintenance |
Environmental Accessibility Adaptations |
For expedited processing of a New Choices Waiver application, please apply online starting April 4, 2023 (link coming soon). Our current paper application can be requested by calling the New Choices Waiver Program Office from 9:00am-12:00pm Monday-Wednesday and Friday at 800-662-9651, option 6.
Forms and Applications - Page Bookmarks
(Click a bookmark to jump to that section of the page)
Bookmark (click to follow) | Instructions for Use |
Submit this form to authorize New Choices Waiver to speak to anyone other than the individual applying for services. | |
Library of the most current version of forms used by case management agencies during service provision. | |
The most current version of forms used by case management agencies when arranging self-administered services for individuals who want to hire their own caregiver. |
Policy
- New Choices Waiver State Implementation Plan Effective 07.01.2021
- Utah Medicaid Information Bulletin and Provider Manuals
- Program Guidance
- Policy Clarification Notices
- Attachment C: Self-Administered Services
NCW SAS FAQ (11.15.21) - Choking and Swallowing Advisory
- Reports
Forms
This is not an all-inclusive list of required forms for the New Choices Waiver. If a provider needs to obtain forms that do not appear in this list, please contact the New Choices Waiver Program.
- NCW Release of Information (ROI)
- Case Management Forms
-
- PCCP Addendum PDF | Word
- Notice of Decision
- Cover Sheet
- MDS-HC
- Medication Management Review Form PDF | Word
- Memory Care Checklist
- Incident Reporting
- 114AR DWS Release Form
-
- Rights and Responsibilities
- Self-Administered Services (SAS)
As you consider which case management agency you’d like to choose, keep in mind that all New Choices Waiver case management agencies are required to perform certain preset activities for each New Choices Waiver participant. Those include things like assessment of client’s needs, working with clients to develop person centered care plans to meet their assessed needs and to help achieve personal goals, performing at least once monthly monitoring, coordinating services, advocating for their clients and keeping accurate records. However, case management agencies are private contracted organizations that are able to establish their own business hours, establish their own approach to how they will respond to urgent client situations, decide whether they will offer other programs or resources within their organization and determine which areas within the community-based system of care that they will choose to specialize in. For this reason it’s important to do a little research to know which agency is right for your own needs and preferences.
To find out which case management agencies are available in your county, look at the Freedom of Choice Consent Form or contact the New Choices Waiver Program at (800)662-9651, option 6 or newchoiceswaiver@utah.gov. Then begin reviewing agencies in your county by referring to their contact information below.
Case Management Agency Contacts
Abundant Solutions, LLC
(801) 554-8100
Fax: (385) 316-8840
991 Shepard Ln, Ste 210
Farmington, Utah 84025
Adult Case Management
(385) 273-1456
Incident Report/Fax: (385) 273-1457
Email: info@adultcasemanagement.com
https://adultcasemanagement.com/
Advocates for Independence
152 W. Burton Avenue, Suite F
Salt Lake City, UT 84115
(801) 679-6461
Incident Report Fax: (801) 948-8001
http://www.advocatesforindependence.com
Advocates for Independence Brochure
Bear River Area Agency on Aging
170 N. Main
Logan, UT 84321
(435) 752-7242
Incident Report Email: shannaa@brag.utah.gov
http://brag.utah.gov
Bear River Area Agency on Aging Brochure
Care Advocates
451 E Bishop Federal Ln
Suite 150
Salt Lake City, UT 84115-2357
(801) 722-4229
Incident Report Fax: (801) 702-8002
Care Advocates Brochure
Davis County Health Department – Senior Services
22 South State
Clearfield, UT 84015
(801) 525-5050
Incident Report Fax: (801) 525-5071
http://www.daviscountyutah.gov/health/senior-services
Davis County Health Department – Senior Services Brochure
De Novo Case Management Services
(801) 263-1056
Incident ReportFax: (801) 991-2903
Incident Report Email: carol@denoservices.org
De Novo Services Case Management Brochure
EnVision Quality Supports
6364 S. Highland Drive #201
Salt Lake City, UT 84121
(801) 209-1357
Incident Report Fax: (801) 874-1753
Incident Report Email: info@envisionquality.com
http://www.envisionquality.com
EnVision Quality Supports Brochure
Five County Association of Governments
Area Agency on Aging
1070 W. 1600 S. Bldg. B
St. George, UT 84770
(435) 673-3548
Incident Report Fax: (435) 688-9088
Five County Association of Governments Brochure
FlexCare (North)
1785 E 1450 S Ste 370
Clearfield, UT 84105
(801) 294-6747
Incident Report Fax: (801) 424-6250
http://www.valleycares.com/programs-services/medical-case-management/
FlexCare Brochure
FlexCare (South)
4460 S. Highland Drive, Suite 300
Salt Lake City, UT 84124
(801) 273-6366
Incident Report Fax: (385) 388-8009
http://www.valleycares.com/programs-services/medical-case-management/
FlexCare Brochure
Generations Case Management
(801) 979-2436
Incident Report Fax: (385) 389-3632
Email: kara@generationscm.org
MACS Plan
205 26th Street, Suite 12
Ogden, UT 84401
(801) 625-3786
Incident Report Fax: (801) 778-6818
Incident Report Email: lauraw@weberhs.org
MACS Plan Brochure
MAG
586 E. 800 N.
Orem, UT 84097
(801) 229-3804
Incident Report Fax: (801) 229-3671
http://www.mountainland.org/aging
Roads To Independence
3355 Washington Blvd.
Ogden, UT 84401
(801) 612-3215
(866) 734-5678 Toll Free
Incident Report Fax: (801) 612-3732
Incident Report Email: Roads@roadstoindependence.org
http://www.RoadsToIndependence.org
Roads To Independence Brochure
Salt Lake County Aging and Adult Services
2001 S. State Street #S1-600
Salt Lake City, UT 84114
(385) 468-3270
Incident Report Fax: (801) 487-6353
Incident Report Email: tnagahiro@slco.org
http://slco.org/aging-adult-services/
Salt Lake County Aging and Adult Services Brochure
Southeastern Utah Association of Local Governments
375 S. Carbon Avenue
Price, UT 84501
(435) 613-0036
Incident Report Fax: (435) 637-5448
Southeastern Utah Association of Local Governments Brochure
Utah Case Management
Draper, UT
(801) 407-0047
Incident Report Fax: (888) 400-9232
Incident Report Email: ucm@utahcasemanagement.com
http://utahcasemanagement.com/
Utah Case Management Brochure
All negative events experienced by NCW participants must be reported by NCW service providers to the participant’s case management agency within 24 hours of discovery. The list below includes examples of negative events that should be reported; this list is not all-inclusive and the Incident Reporting Protocol should be referenced for further information.
- Death, regardless of the circumstances
- Changes in medical or functional status
- Falls with or without injury
- ER treatment for any reason
- Hospital admission for any reason
- Mental health decline
- Start or stop of hospice or home health services
- A move to a skilled nursing facility
- Any negative event that occurs at the client’s place of residence or that occur while the client is in the community
- Events described further in this brochure as possible Critical Incidents
Case management agencies must review all negative events experienced by NCW participants and report any possible critical incidents to the NCW Program within 24 hours of receiving notification. To report a critical incident:
- Complete the Incident Report (IR) form (a provider/facility specific incident report may also be used to report the incident)
- Submit report to ncwincidents@utah.gov
- Incident Report Form (IR) PDF | Word
- Critical Incident Investigation Report (CIIR) PDF | Word
- Example Investigation Report
- Helpful Resources