Streamlining Access to HCBS/Diversion from Institutions
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Maryland NHD Participant Intake and Monitoring Draft 
Source: MarylandMaryland uses this process for participant targeting and eligibility.
(PDF) Added January 12, 2009 Maryland NHD Screening Tool


Source: Maryland
This tool uses items from the Adult Evaluation and Review Services (AERS) Comprehensive Evaluation and Recommended Plan of Care to identify individuals who are at high risk of spend down to Medicaid eligibility and placement in a nursing facility.
(PDF)
Added January 12, 2009
Kentucky NHD Notification of Eligibility


Source: Kentucky
Kentucky created this form to inform consumers of their eligibility for NHD services.
(Word)
(PDF)
Added January 10, 2009
Kentucky NHD Client Enrollment Part 4


Source: Kentucky
This is part 4 of Kentucky's NHD Client Enrollment form. It covers the client's physical health, use of assistive devices, physical environment, support system, and and mental/emotional status.
(Word)
(PDF)
Added January 10, 2009
Kentucky NHD Client Enrollment Part 3


Source: Kentucky
This is part 3 of Kentucky's NHD Client Enrollment form. It assesses Activities of Daily Living.
(Word)
(PDF)
Added January 10, 2009
Kentucky NHD Client Enrollment Part 2


Source: Kentucky
This is part 2 of Kentucky's NHD Client Enrollment form. It seeks information about the client's health care provider and caregiver information.
(Word)
(PDF)
Added January 10, 2009
Kentucky NHD Client Enrollment Part 1


Source: Kentucky
This is part 1 of Kentucky's NHD Client Enrollment form. It covers basic demographic information and services requested.
(Word)
(PDF)
Added January 10, 2009
Kentucky NHD Application for Services


Source: Kentucky
Kentucky created this one page document for consumers to request NHD services.
(Word)
(PDF)
Added January 10, 2009
West Virginia NHD Processes FlowChart


Source: West Virginia
This flow chart, created by West Virginia, diagrams the steps to offering the appropriate services for NHD consumers.
(Word)
(PDF)
Updated February 10, 2009