Mental Health Waiver Forms & Resources
For more information on the Mental Health Waiver program, visit the DMHAS Older Adult Services website.
Mental Health Waiver Critical Incident Form
Frequently Asked Questions (FAQs)
- Frequently Asked Questions
- MORE COMING SOON
Provider Resources
- Program Contacts (Office)
- MHW Program Contacts ( staff directory)
- Mental Health Advisory Council
- Provider Network
- ABH New Website Overview
- Access to WOS
Billing
- Mental Health Waiver Rate Schedule
- Mental Health Waiver Billing General Information
- Claims Submission Schedule, Jul - Dec 2017
- Claims Submission Schedule, Jan - Jun 2018
- Claims Submission Schedule July-Dec 2018
- Mental Health Waiver Timely Filing
- Timely Calculation Tool
- Time In / Time Out Calculation Tool
- Mental Health Waiver Claims Appeals Process
- Mental Health Waiver Claims Appeals Guidelines
- Mental Health Waiver Claims Appeals Form
Credentialing
- Mental Health Waiver Credentialing Application
- Assisted Living Services (ALSA)
- Brief Episode Stabilization (BES)
- Community Support Program (CSP)
- Peer Support (PS)
- Recovery Assistant (RA)
- Supported Employment (SE)
- Transitional Case MGMT (TCM)
- Personal Emergency Response (PERS)
- Adult Day Health
- Home Delivered Meals
- Chore Service
- DXC Performing Provider Application
- DXC Performing Provider Sample
Community Support Program
- CSP Training
- CSP Meeting PowerPoint 4/12/18
- CSP Training Questions and Answers
- CSP Fidelity Scale
- Mental Health Waiver Service Encounter Note
- Distinctions between CSP & TCM
- CSP Sample Encounter Note
- Common CSP Documentation Terms
Recovery Assistant
- Recovery Assistant Training Schedule
- Recovery Assistant Post Education
- Connecticut Criminal Background Checks for Recovery Assistants
- Recovery Assistant Credentialing Instructions
- Recovery Assistant Online Training and Test Link
- Recovery Assistant Failure to Pass Exam Procedure
- RA Encounter Note
- RA Encounter Note (sample)
- RA Job Description
- 2013 HCBS Conference Presentation
- 2015 HCBS Conference Presentation
Provider Meeting
- August 2015 Provider Meeting
- October 2015 Provider Meeting
- January 2016 Provider Meeting
- April 2016 Provider Meeting
- July 2016 Provider Meeting
- October 2016 Provider Meeting
- January 2017 Provider Meeting
- April 2017 Provider Meeting
- July 2017 Provider Meeting
- October 2017 Provider Meeting
- January 2018 Provider Meeting
- April 2018 Provider Meeting
Non Medical Transportation
- Non Medical Transportation Individual
- Non Medical Transportation Provider
DMHAS Waiver Service Documentation
- Level of Care Definitions
- DMHAS Recovery Skills Assessment
- Recovery Assistant Encounter Note
- Recovery Assistant Monthly Note
- Mental Health Waiver Services Monthly Progress Note
- Mental Health Waiver Encounter Note
- Mental Health Waiver Encounter Note - FILLABLE
- Recovery Assistant Monthly Note - FILLABLE
- Mental Health Waiver Services Monthly Progress Note - FILLABLE
- Recovery Assistant Monthly Note - SAMPLE
- Mental Health Waiver Services Monthly Progress Note - SAMPLE
Provider Manuals
- Provider Manual
- Mental Health Waiver Online System (WOS)
Mental Health Waiver Newsletter
Networking/ Other
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