Home- and Community-Based Services (HCBS)2018 Provider Quality Management Self- Assessment
~~“This form is required for entities enrolled to provide services in Section B under the following waivers/programs:• Health and Disability • Elderly Waiver • Brain Injury Waiver (BI) • Waiver (HD)AIDS/HIV Waiver • Children’s Mental Health Waiver (CMH) • Physical Disability Waiver (PD)• Intellectual Disability Waiver (ID)• HCBS Habilitation Services (Hab)
Each provider is required to submit one, six-section self-assessment by December 1, 2018. This form is to be completed and submitted via fillable PDF as directed on the Provider Quality Management Self-Assessment1 webpage."
- Medicaid Agencies
- Home and Community Based Services (HCBS)
- Department of Human Services