BASIS RELATED FORMS
| Behavior Tracking Logs To track behaviors for the BASIS assessment |
| Seizure Tracking Logs To track seizure activity for the BASIS assessment |
| Status Action Form for TCMs to notify CDDO of changes in Info or Services section |
| Supporting Documentation List for BASIS Assessments |
| BASIS Questionnaire Optional method for gathering input from providers or DSPs |
FUNDING
| Funding Request Checklist For KDADS training on Funding requests click here |
| HCBS IDD Waiver Access Request This form to be used for Crisis Requests, Transitions from other waivers and funding requests related to children in DCF custody. Upload requests to BCI and click “Save & Send” in order to notify the CDDO |
| 3136 Notice of updates and changes to DCF & KDHE |
| IDD-1 I/DD Medicaid waiver individual choice |
| MR-6 Consumer-directed in-home supports |
| Emergency Backup Plan |
| Self-directed Guidelines |
| Service Provider Transition Checklist |
MANUALS AND OTHER MATERIALS
QUALITY OVERSIGHT
| Adverse Incident Reporting (AIR) Forms |
| AIR Updated Definitions |
| AIR User Manual |
| AIR Information (KDADS Website) |
| BCI Quality Oversight Entry (link directs to BCI, Log-in then access “Quality Survey”) |
| QO Consumer Visit Form |
FORMS TO BE SUBMITTED TO CDDO
OTHER RESOURCES
| Consumer Rights Hand-out |
| K-PASS Self-direction tool kit |
| KS EES Manual – Kansas Economic and Employment Services |
| List of Abbreviations |
| Parental Fee Program (Note: this PDF may contain old information. KDADS webpage is down) |
| Resources for Douglas/Jefferson Counties |
CDDO BROCHURES
| Transition Planning Guide – Planning from age 5 through High School graduation and into Adult Services |
| Choosing Service Providers – A list of topics to discuss and questions to ask potential service providers |