Final Waiver Rates

Adult Foster Care

• AFC - Final Certification Standards
• Appendix A - AFC Profider Checklist
• Appendix B - AFC Survey Tool
• Appendix C - AFC Consumer Personal File
• Appendix D - House Rules Format
• Appendix E - Medication Administration Record
• Appendix F - Case Manager Checklist for On-Site Visits to AFC Home

Assisted Living Waiver Application Materials

• Schedule A
• County Survey
• Definition of Attendant Care
• Definition of Homemaker Services
• Definition of Respite Care
• Medicaid Waiver Provider Application for Certification
• Assisted Living Medical Waiver Provider Packet & Application
• W-9

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