DHS Announces New Form DHS-6633A Community Support Plan Addendum and Updates DHS-3965 Elderly Waiver Conversion Rate Request

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Aging & Adult Services Division

Community Support for Seniors E-List

E-List Archive

August 29, 2018

ToAlternative Care (AC) and Elderly Waiver (EW) program managers, Certified Assessors, Long Term Care Consultation Administrative Contacts, Social Service Staff and Supervisors, Tribal Nation Administrators
From: DHS Aging and Adult Services Division
Purpose: To announce new form DHS-6633A CDCS Community Support Plan Addendum with 2018 EW and AC Rate Increase and updates to DHS-3956 Elderly Waiver Conversion Rate Request to reflect the current SIS-EW Maintenance Needs Allowance (MNA)
Contact: Please submit any questions through PolicyQuest

DHS Announces New Form DHS-6633A Community Support Plan Addendum and Updates DHS-3965 Elderly Waiver Conversion Rate Request

Form DHS-6633A CDCS Community Support Plan Addendum with 2018 EW and AC Rate Increase is now available. This form is used to notify EW and AC CDCS participants of the .03% increase in their CDCS budgets effective July 1, 2018 that was a result of the rate increase for the home delivered meals service on the EW/AC programs.

Form DHS-3956 Elderly Waiver Conversion Rate Request was updated to reflect the July 2018 SIS-EW Maintenance needs allowance.

 All forms can be found using: e-Docs