Provider Contracting System

Public Documents

Folder	Title	Category
Addenda
	Adult Day Health - Service Specific Form - 9-23-24	AdultDayHealth
	Alzheimers Service Specific Form - 9-23-24	Alzheimers
	Behavioral Health Services - Service Specific Form - 9-23-24	BehavioralHealth
	Chore - Service Specific Form - 9-23-24	Chore
	Companion - Service Specific - 11-19-24	Companion
	Environmental Accessibility Adaptations - Service Specific Form - 9-23-24	Environmental
	Evidence Based Programs - Service Specific Form - 9-23-24	EvidenceBased
	Goal Engagement - Service Specific Form - 9-23-24	GoalEngagement
	Grocery Shopping Service Specific Form - 11-22-24	GroceryShopping
	Home Delivered Meals - Service Specific Form - 9-23-24	Meals
	Home Delivery of Medication - Service Specific Form - 9-23-24	HomeDelivery
	Home Health Services - Service Specific Form - 9-23-24	HomeHealthAide
	Laundry - Service Specific Form - 9-23-24	Laundry
	Medication Dispensing - Service Specific Form - 9-23-24	MedicationDispensing
	Peer Specialist - Service Specific Form - 9-23-24	COAPs
	Personal Emergency Response System - Service Specific Form - 10-23-24	PersonalEmergency
	Respite (Short Term Care) - Service Specific Form - 9-23-24	Respite
	Supportive Day Care - Service Specific Form - 9-23-24	DayCare
	Translation - Service Specific Form - 9-23-24	Translation
	Transportation - Service Specific Form - 9-23-24	Transportation
	VCAM - Service Specific Form - 9-23-24
ASAP/AAA Service Map & Directory
	ASAP/AAA Directory	NOI
	ASAP/AAA Map	NOI
Attachment A's to the Provider Agreement
	Adult Day Health	Attachment A
	Aide Assisted Transportation	Attachment A
	Alzheimers Coaching	Attachment A
	Alzheimers Day Program	Attachment A
	Assistive Technology	Attachment A
	Behavioral Health Services	Attachment A
	Chore	Attachment A
	Companion	Attachment A
	Competency Evaluation	Attachment A
	Complex Care Training & Oversight	Attachment A
	Electronic Comfort Pet	Attachment A
	Emergency Shelter	Attachment A
	Enhanced Tech Cellular PERS	Attachment A
	Environmental Accessibility Adaptations	Attachment A
	Evidence Based Programs	Attachment A
	Fiscal Intermediary Services	Attachment A
	Goal Engagement	Attachment A
	Grocery Shopping & Delivery	Attachment A
	Home Based Wandering Systems	Attachment A
	Home Delivered Meals	Attachment A
	Home Delivery of Pre-Packaged Medications	Attachment A
	Home Health Services	Attachment A
	Home Safety Independence Evaluations	Attachment A
	Homemaker-Personal Care-Supportive Home Care Aide	Attachment A
	Laundry	Attachment A
	Legal Services	Attachment A
	Medication Dispensing System	Attachment A
	Orientation and Mobility	Attachment A
	Peer Support	Attachment A
	Personal Emergency Response System	Attachment A
	Respite Care	Attachment A
	Supportive Day Program	Attachment A
	Translation Interpreting Services	Attachment A
	Transportation	Attachment A
	Video Communication and Monitoring	Attachment A
	Vision Rehabilitation	Attachment A
	Wanderer Locator Service	Attachment A
Guidance and Requirements
	Electronic Visit Verification (EVV) Information	PCMS
	Frail Elder Waiver HCBS Enrollment Links - 12-10-24	NOI
	Provider Resource Documents- Link	PCMS
Homemaker/Personal Care/SHCA Instructions
	Blank NOI Application	NOI
	Homemaker Standards & Personal Care Guidelines	NOI
	PCMS Provider User Guide 9-19-24	NOI
	Unit Rate Calculation Page	NOI
Non-Homemaker Information
	Blank Administrative Overview	PCMS
	PCMS Provider User Guide - 2-25-25	PCMS
PHCAST
	PHCAST Information & Link including Job Board	NOI