Case management agencies for the Community Choices Waiver (CCW) Program that employ case managers who identify participants’ specific needs, and coordinate, monitor, and locate the social and medical services required to meet those needs.
A CCW Case Manager provides services that assist individuals who are eligible for waiver services to gain access to needed waiver and other State Plan services as well as needed medical, social, and other services regardless of the funding source.
For questions about Community Choices Waivers email firstname.lastname@example.org.
Receive CBSU Case Manager Communications.
Case Management Forms
- Waiver application
- CCW Case Manager Manual – Effective October 1, 2020
- CCW Program Fact Sheet 9.2020
- CCW Case Managers List – 9/15/2020
- CCW Provider List – 9/15/2020
- CCW-1 Participant Choice of Services 02 18
- CCW-3 Participant Rights & Responsibilities 02 18
- CCW-6 Provider Duty Sheet 10-18
- CCW-6a FMS Change Notification 2018_11
- CCW-7 Case Manager Monthly Evaluation
- CCW-11 Change of Case Management Agency 10 18
- PDO-1 Particpant Capability
- PDO-2 Particpant Agreement 02 18
- PDO-3 Participant Profile 02 18
- PDO- 4T Participant Directed Services Back Up Template 02 18
- PDO-4I Participant Directed Services Back Up Instructions 02 18
- PDO-5 Request for Review of Authorized Representative Status 02 18
- PDO-6 Authorized Representative Review 02 18
- PDO-7 Participant Directed Direct Service worker (DSW) Log 02 18
- PDO-8 Participant Responsibilities Checklist 02 18
- Document Upload Naming Convention Retention with dates.2020.06
- COVID-19 Temp Wage Change Form