DSPD Policies
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DSPD Policies
- 1- General Staff Directives
- 1.1- Human Rights
- 1.2- Eligibility and Intake (DD MR)
- 1.3- Eligibility and Intake (ABI)
- 1.4- Waiting List
- 1.5- Updating and Reporting Waiting List Information
- 1.6- Notice and Hearing for Agency Action
- 1.7- Entry to and Movement within the Service System
- 1.8- Individual or Family Service Plan
- 1.9- Person-Centered Planning
- 1.10- Request to Amend or Add to Persons Record
- 1.11- Conflict Resolution Process
- 1.12- Components of Support Coordination
- 1.13- Health and Medications Requirements
- 1.15- Nursing Home Admissions PASRR
- 1.16- Inventory for Client and Agency Planning Assessmentn
- 1.17- Fatality Notifications
- 1.18- Division Staff Training Requirements
- 1.19- Training Requirements for ABI Support Coordinators
- 1.20- Code of Conduct
- 1.21- Persons Record at Region Office
- 1.22- Contacting and or Requesting an Attorney Generals Opinion
- 1.23- Writing an Admission Letter to an ICFMR
- 1.24- Internal Directive Development and Revision
- 1.25- Media Contacts
- 1.26- Expressing Appreciation
- 1.27- Private Vehicle Use
- 1.28- Division Publications
- 1.29- Defining When Home and Community Based Waiver Services Are Needed
- 1.30- Medicaid Home and Community Based Program Disenrollment Protocol
- 1.31- Self-Administered Services (DD MR and ABI)
- 1.32- Community Service Brokering
- 1.33- Persons Record at Region Office
- 1.34- Emergency Services Management Committee
- 2- Financial Directives
- 2.1- Personal Funds and Representative Payee Supports
- 2.2- Child Support and Parent Fees
- 2.3- Community-Based Housing Allowance Program
- 2.4- Residential Room and Board Fees
- 2.5- Guidelines for Using Special Needs Fund (SNF)
- 2.6- Funding for Psychological Assessments for Individuals Who are Medicaid Eligible
- 2.8- Enrolling Individuals-Families in a Fiscal Agent Model
- 2.9- Use of Family Support Vendor Purchase Code (FSV)
- 2.10- Program Start-up Costs
- 2.11- Direct Financial Assistance Program (MAG)
- 2.12- Family Support Direct Financial Assistance Program (MAG)
- 2.13- Distribution of Supported Employment (SEA) and (SEB) Funds
- 2.14- Funeral Expenses Funding Resources
- 2.15- Honorariums
- 2.16- Computing In-Home and Out-of-Home Service Categories
- 2.17- Computing Full Program Equivalents
- 2.18- Supported Employment Waiting List Transitional Funding Option
- 2.19- Contract-RFP Process
- 2.20- Criteria for Distribution of ESMC Waiting List One-Time Crisis Funds
- Community Based Housing Allowance Application
- Forms
- 0-1 DSPD Employee USTEPS ACCESS Form
- 0-2 DHS Contract Provider-Employee Usteps ACCESS Form
- 0-3 PSC - Email Change Form
- 0-4 Non-DSPD State of Utah Employee USTEPS ACCESS Form
- 0-5 PSC COMPANY USTEPS ACCESS Form
- 0-6 State of Utah Employee Read Only USTEPS ACCESS Form
- 0-7 State of Utah Employee USTEPS ACCESS Form - Interns
- 1-2 Authorization to Furnish Information and Release from Liability.doc
- 1-2 Authorization to Furnish Information and Release from Liability
- 1-2A Release of Information.doc
- 1-2A Release of Information
- 1-3 Voluntary Financial Support Agreement.doc
- 1-3 Voluntary Financial Support Agreement
- 1-6 Invitation to Submit Offer to Provide Services.doc
- 1-6 Invitation to Submit Offer to Provide Services
- 1-8 Incident Report Form
- 1-18 Request to Amend or Add to Record.doc
- 1-18 Request to Amend or Add to Record
- 1-19 Evaluation for ESMC Waiting List One-Time Funded Services.doc
- 1-19 Evaluation for ESMC Waiting List One-Time Funded Services
- 2-1G Graduated Fee Assessment.doc
- 2-1G Graduated Fee Assessment
- 2-2 Needs Assessment for DD/ID and ABI .doc
- 2-2 Needs Assessment for DD/ID and ABI
- 2-8A Agreement Direct Financial Payments.doc
- 2-8A Agreement Direct Financial Payments
- 2-8L Log Direct Financial Assistance Payments.doc
- 2-8L Log Direct Financial Assistance Payments
- 2-9C(B) Application for Certification to Provide Limited Services for Self-Administered Services (ABI)
- 2-9C(PDW) Application for Certification to Provide Limited Services for Self-Administered Services (PDW)
- 2-9C Application for Certification to Provide Limited Services for Self-Administered Services
- 2.9-EA(B) Self-Administered Services Employment Agreement (ABI)
- 2.9-EA(PDW) Self-Administered Services Employment Agreement (PDW)
- 2.9-EA Self-Administered Services Employment Agreement
- 2.9-SA(ABI) Self Administered Services Agreement - ABI
- 2.9-SA(CSW) Self-Administered Services Agreement - CSW
- 2.9-SA(PDW) Self-Administered Services Agreement - PDW
- 2.9-T Notice of Termination of FMS Services
- 3-2 Critical Needs Assessment for Physical Disabilities Services
- 3-3 PD Parent/Step-Parent as a PA 1 Provider Under Specific Circumstances
- 4-4 Control of Emotion
- 5-2 Deceased Client-Employee Report Form.doc
- 5-2 Deceased Client-Employee Report Form
- 5-3 Code of Conduct Certification.doc
- 5-3 Code of Conduct Certification
- 5-9CA Division Certification Application.doc
- 5-9CA Division Certification Application
- 18B Request for ICD 9 CM Code from a Licensed Physician
- 19ቯC Eligibility for DD-ID Services
- 19B Eligibility for ABI Services
- 298 Disbursement Request.doc
- 298 Disbursement Request
- 484A Service Information.doc
- 484A Service Information
- 490S Hearing Request
- 522-I Notice of Agency Action.doc
- 522-I Notice of Agency Action
- 522F-PD Notice of Agency Action (Physical Disabilities Waiver).doc
- 522F-PD Notice of Agency Action (Physical Disabilities Waiver)
- 522F Notice of Agency Action.doc
- 522F Notice of Agency Action
- 815 Contract Services Quarterly Summary Sheet.doc
- 815 Contract Services Quarterly Summary Sheet
- 818 Choice of Service System ID-RC Waiver
- 818B Choice of Service System ABI Waiver
- 824 Social Summary.doc
- 824 Social Summary
- 824L Social History
- 843B Case Transfer Information
- 902 Physical Examination Report.doc
- 902 Physical Examination Report
- 909 Division Services Waiting List Form
- 927 Waiver Referral.doc
- 927 Waiver Referral
- 928 Exceptional Care Needs Screening
- 929 Respite - Intensive Screening.doc
- 929 Respite - Intensive Screening
- 930 Enhanced Supervision & Rate Form
- 930a Guidelines Enhanced Staffing & Rate
- 931 SIS Risk Section 4.doc
- 931 SIS Risk Section 4
- 1056SDA Individual Purchase of Service Form.doc
- 1056SDA Individual Purchase of Service Form
- All DSPD Forms - Zip File Download
- Background Screening Application Direct Services Certified Provider
- CAPS User Access Form
- DPF-2 Medicaid Special Circumstance Involuntary Disenrollment Notice of Intent
- DPF-3 DHCF Decision Notice for Special Circumstance Involuntary Disenrollment
- DRS-58 Referral and Service Report
- GRAMA Request for Records
- ICFMR Transition Fact Sheet
- Provider Service Invoice
- USDC-1 USDC Request for Outpatient Dental Services.doc
- USDC-1 USDC Request for Outpatient Dental Services
- USDC-2 USDC Request for Services.doc
- USDC-2 USDC Request for Services
- 1- General Staff Directives
