Anonyms
The limit costs of goods
Forms
Forms needed
Misc
100

CDCS

Consumer Directed Community Supports

100

How much comes out of budget for Home Modifications?

$5000

100

What is DHS 6791D form?

Coordinated services and supports plan signature sheet

100

What is needed for Therapy approval?

Alternative Therapy Form

100

What is OT/PT?

Occupational THerapy & Physical THerapy 

200

What is SP & FMS & MP? 

Support Planner

Financial Management Services

Managing Party

200

How much comes out of Vehicle Modifications?

5000

200

What is DHS 2828B?

Notice of Action

200

What is needed for specialized Diets?

Special diet prescription
200

Name 3 of the 4 Budget exceptions

Own home

Out of an institution

Behavioral

DT&H/Employment

300

What is NOA & ATF?

Notice of Action 

Alternative Therapy Form

300
What is the Maximum cost coverage for a computer/laptop?

$1000 

300

What are the DHS 3067 and 3427 Form?

DD and LTC Screening document

300

What form is used for approving plan w/ pending, denied or approved lines. This form is used when you complete plan approval to client.

Summary of Decisions

300
What is the Maximum pay rate for PPOM/PPOS without PTO?
$18.82
400

What is PPOM, PPOS & PPOA?

Paid parent of a Minor

Paid parent of an adult

Paid parent of a spouse

400

What is the maximum cost for an Ipad + Accessories?

$700

400

What is DHS 1941 form?

Your appeal rights

400

What DHS form is used for Budget exception?

DHS 6633

400

What is the suggested limit cost for Laundry?

$800 annually or $4 per load

500

What is PMI?

Person Master Index

500

What is the Maximum cost monthly of Internet services?

$50

500
What is DHS 6532 form?

CDCS CSP

500

What DHS form is used for Budget COLA increase?

6633A

500

What can a portable Generator allowed to be purchased for a client under CDCS?

to maintain life‐sustaining medical equipment