Developmental Services - Waiver Program Initial Applications

Developmental Services has developed a new waiver program. It has services that assist you to be an active member of your community. There are five areas that this waiver can help you with, if you want support in these areas. If you are now in a Community Support Program, we will help you to switch to this new program. Nothing has to change unless you want it to.

Name HTML Microsoft Word* Adobe PDF*
BMS-99 Level of Certification Form for CM's   Word PDF
Guardian Decision Regarding Waiver Services   Word PDF
How To Send In an Eligibility Determination for Section 21 & Section 29 Services   Word PDF
Information for People receiving Developmental Services and their Families or Guardians HTML Word PDF
Information for people using the Support Waiver   Word PDF
Service Proposal Request Form   Word  
Supported employment definitions and guidelines HTML Word PDF

Training Model for BMS-99 for Case Managers

  Word PDF
Waiver Eligibility and/or Adult Protective Determination HTML   PDF

Waiver Eligibility and/or Funding Request

  Word

PDF