Western Highlands Network
Western Highlands Network

Developmental Disability Information


 underconstruction3  Important Notice: WHN website information

· NC Innovations

· IPRS

· Care Coordination

· Alternative Family Living

· Community Based ICF

· TBI Education & Resources

Archives
· Transition to NC Innovations

       

NC Innovations Manual· Technical Manual

· Cover Letter from DMA (June 2012)


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IDDMeetings1

 

NC INNOVATIONS

 

Innovations Waiver - Agency with Choice Option 

PDF

Agency with Choice Requirements for Application

PDF

Community Networking

PDF

Out of State Travel Request (June 13, 2012)

Word File

NC Innovations - Frequently Asked Questions (April 27, 2012)

PDF

Relative/Guardian As Employee

 Up ↑

Verification of Relative/Legal Guardian as Direct Support Employee - A
Form Title: Part A Application (Sept 1, 2012)

Word File

Verification of Relative/Legal Guardian as Direct Support Employee - B
· Form Title: Part B Application (Sept 1, 2012)

Word File

Verification of Relative/Legal Guardian as Direct Support Employee - C
Form Title: Part C Application (Sept 1, 2012)

Word File

Verification of Relative/Legal Guardian as Direct Support Employee - D
Form Title: Part D Application (Sept 1, 2012)

Word File

Relative As Employee - Policy (Sept 1, 2012)

PDF

Relative As Employee - Procedure (Sept 1, 2012)

PDF 

 
Community Guide

 

Community Guide Service Providers (Nov 10 2011)
Reference list for participants/guardians to choose Community Guide provider.

Word File

Community Guide Powerpoint (March 21, 2012)

Slideshow


Back-Up Staffing Requirements 

 

Failure to Provide Back-up Staffing Incident Report (3/27/12)

Word File

Back-up Incident Reporting Form (3/12/12)

Word File

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IPRS

Up ↑ 

I/DD IPRS B3 Individual Support Plan (Oct 11, 2012)

Word File

I/DD IPRS B3 Individual Support Plan Update Form (Oct 12, 2012)

Word File

IPRS Transition - Support Plan Guidance (June 20, 2012)

Word File

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CARE COORDINATION

 
Up ↑

Provider Plan Draft

Word File

Community Guide Needs Survey (Nov 11, 2011)
Document used by Care Coordinators (TCMs in transition) to help the TCM recipient with Medicaid whether or not they will need Community Guide.

Word File

Individual Support Plan (ISP) Template  (May 14, 2012)

Word File

ISP Template with Instructions

Word File

Update to ISP - NC Innovations 

Word File

Minimum ISP Review Criteria

PDF

Level of Supports Review Criteria

PDF

Initial Level of Care Eligibility Determination Form - NC Innovations

Word File

Participant Responsibilities

Word File

NC Innovations Risk Support needs Assessment

Word File

Weekly Schedule Template (April 23, 2012)

Word File

NC SNAP Supplemental Information Cover Sheet

Word File

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ALTERNATIVE FAMILY LIVING (AFL) INFORMATION

 Up ↑

Registration & Request for Letter of Support (updated July 31, 2013)

Word File

Expectations of AFL Agencies

PDF

Certified AFL On-site Review 

PDF

Request For LME Approval to Subcontract

Link

 
Services Provided in Staff Residence

 

Procedures for Services

PDF

Staff Home Inspection

PDF 

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Community Based ICF

 
Up ↑

 Initial Level of Care Eligibility Determination Form - NC Innovations

Word File

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TBI Education and Resources

 

TBI Education and Resources Manual

Word File
PDF
Up ↑ 



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Western Highlands Network | 356 Biltmore Avenue | Asheville, NC 28801

Consumers: 828-225-2800 or 1-800-951-3792 | Providers: 828-225-2785 or 1-800-671-6560 | Fax: 828-225-2784