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)
Provider Resources
- ABH office staff contact list
- Waiver Clinicans Contact list
- Mental Health Advisory Council
- Provider Network
- ABH New Website Overview
- Access to WOS
- Provider staff Contact form
Billing
- Mental Health Waiver Rate Schedule
- Mental Health Waiver Billing General Information
- Claims Submission Schedule, Jan - Jun 2019
- 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
Applications
- 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 Encounter Notes (Powerpoint)
- CSP Training Questions and Answers
- CSP Fidelity Scale
- Distinctions between CSP & TCM
- Common CSP Documentation Terms
Recovery Assistant
- MHW Training Schedule 2019
- Recovery Assistant Training Inclement Weather Policy
- Recovery Assistant Post Education
- Connecticut Criminal Background Checks for Recovery Assistants
- Recovery Assistant Credentialing Instructions
- Recovery Assistant Online Exam
- Recovery Assistant Failure to Pass Exam Procedure
- RA Job Description
Provider Meeting
- April 2018 Provider Meeting
- July 2018 Provider Meeting
- October 2018 Provider Meeting
- January 2019 Provider Meeting
- April 2019 Provider Meeting
DMHAS Waiver Service Documentation
- Level of Care Definitions
- DMHAS Recovery Skills Assessment
- Recovery Assistant Encounter Note
- Recovery Assistant Encounter Note (SAMPLE)
- Recovery Assistant Monthly Note
- Recovery Assistant Monthly Note (SAMPLE)
- MHW Service Encounter Note for CSP/TCM-SE and PS
- MHW Service Encounter Note for CSP/TCM-SE And PS (SAMPLE)
- MHW Service Encounter Note for CSP/TCM-SE and PS (FILLABLE)
- MHW Service Monthly Progress Note for CSP/TCM-SE and PS
- MHW Services Monthly Progress Note for CSP/TCM-SE and PS (SAMPLE)
Provider Manuals
- Provider Manual
- Mental Health Waiver Online System (WOS)
Mental Health Waiver Newsletter
Coming soon
Networking/ Other
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