Policy and Forms

Chapter 513 Intellectual and Developmental Disabilities Waiver Policy

Policy Clarifications
Click here to view the newest Policy Clarifications


Approved IDDW Forms

How to Report Abuse/Neglect Brochure

IDDW 2015 Manual Training Registration Form

IDDW Case Management Only Agency Certification Application 

IDDW Grievance Form

IDDW 01 Application 

IDDW Attestation Form  

IDD Direct Support Services Living Arrangement Assessment 

IDD 02 Freedom of Choice   

IDD 03 SC Home/Day Visit Combined

IDD 04 Initial Individualized Program Plan 

IDD 05 Individualized Program Plan (IPP)  

IDD 06 Certificate of Training 

IDD 07 Direct Support Document 

IDD 08 Request for EAA 

IDD 09 Request for Nursing Services 

IDD 10 Transfer Discharge 

IDD 11 Notification of Death

IDD 12 Request to Continue Services 

IDD 13 Assessment Data Modification Request

IDD 14 LPN Medication Admin Progress Notes

IDD 15 Remote Monitoring Application

IDD 16 Remote Monitoring Equipment 

IDD 17 Remote Monitoring Risk Assessment


IDD PC Dual Schedule Template Example

Exception Request 

Exception Request Information and Checklist 

Addendum to Current IPP

Authorization Checklist 

COVID-19 Addendum