{"id":55,"date":"2022-11-10T22:22:31","date_gmt":"2022-11-10T22:22:31","guid":{"rendered":"https:\/\/www.cwcddo.org\/?page_id=55"},"modified":"2025-10-30T17:34:05","modified_gmt":"2025-10-30T22:34:05","slug":"cddo-forms","status":"publish","type":"page","link":"https:\/\/www.cwcddo.org\/index.php\/cddo-forms\/","title":{"rendered":"CDDO Forms"},"content":{"rendered":"\n<h4>FUNDING<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table class=\"has-text-color\" style=\"color:#1d1d1d\"><tbody><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2023\/12\/Funding-Request-Checklist.pdf\" data-type=\"URL\" data-id=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2023\/12\/Funding-Request-Checklist.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Funding Request Checklist<\/a> For KDADS training on Funding requests <a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/kdads-idd-crisis-exception-training-10-28-20.pdf\" target=\"_blank\">click here<\/a><\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/HCBS-IDD-Waiver-Funding-Request-7102024.docx\" target=\"_blank\">HCBS IDD Waiver Access Request<\/a> This form to be used for Crisis Requests, Transitions from other waivers and funding requests related to children in DCF custody. Upload requests to CDP (Cottonwood CDDO Consumer Database Portal)<\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/i-dd-medicaid-waiver-individual-choice.pdf\" target=\"_blank\">IDD-1<\/a> I\/DD Medicaid waiver individual choice<\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/MR-6.doc\" target=\"_blank\">MR-6<\/a> Consumer-directed in-home supports<\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Individualized-Emergency-Backup-Plan-8-09.doc\" target=\"_blank\">Emergency Backup Plan<\/a><\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Self-Directed-Guidelines.doc\" target=\"_blank\">Self-directed Guidelines<\/a><\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Service-Provider-Transition-Checklist.docx\" target=\"_blank\">Service Provider Transition Checklist<\/a><\/td><\/tr><tr><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4>MANUALS AND OTHER MATERIALS<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table><tbody><tr><td><a href=\"https:\/\/portal.kmap-state-ks.us\/PublicPage\" target=\"_blank\" rel=\"noreferrer noopener\">HCBS DD Provider Manuals<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/kdads.ks.gov\/docs\/librariesprovider17\/CSP\/HCBS\/HCBS-Policies\/m2016-044-extraordinary-fundinge5c35ca0172e66d690a7ff00009edf98.pdf?sfvrsn=0&amp;sfvrsn=0\" target=\"_blank\" rel=\"noreferrer noopener\">Extraordinary Funding Policy (KDADS)<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/kdads.ks.gov\/provider-home\/forms\" target=\"_blank\" rel=\"noreferrer noopener\">Extraordinary Funding Materials<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4>QUALITY OVERSIGHT<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table class=\"has-text-color\" style=\"color:#1d1d1d\"><tbody><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/QO-Consumer-Visit-Form.doc\" target=\"_blank\" rel=\"noreferrer noopener\">QO Consumer Visit Form<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4>FORMS TO BE SUBMITTED TO CDDO<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table class=\"has-text-color\" style=\"color:#1d1d1d\"><tbody><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2023\/03\/SAF.docx\" data-type=\"URL\" data-id=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2023\/03\/SAF.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Status Action Form<\/a> for TCMs to notify CDDO of changes in Info or Services section<\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/forms.office.com\/r\/GfvM2yu98m\" data-type=\"URL\" data-id=\"https:\/\/forms.office.com\/r\/GfvM2yu98m\" target=\"_blank\">CDP Application<\/a> Request access to CDDO&#8217;s online consumer information platform (<a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2025\/10\/CDP-Instructions-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2025\/10\/CDP-Instructions-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">CDP User Guide<\/a>)<\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/CDDO-Area-Transfer-Courtesy-Share-Form.docx\" target=\"_blank\" rel=\"noreferrer noopener\">CDDO Area Transfer &#8211; Courtesy Share Form<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/CCM-QO-Member-Nomination.doc\" target=\"_blank\" rel=\"noreferrer noopener\">CCM-QO Member Nomination Form<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Dispute-Resolution-Form.doc\" target=\"_blank\" rel=\"noreferrer noopener\">Dispute Resolution Form<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/ICF-IID-Request-Checklist.docx\" target=\"_blank\" rel=\"noreferrer noopener\">ICF-IID Request Checklist<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/6-03-2019-icf-iid-gatekeeping-policy.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">ICF Gatekeeping Policy<\/a> ICF Referral &amp; Prescreen Form: <a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/standardized-icf-iid-gatekeeping-application-final-5-22-20198e3763a0172e66d690a7ff00009edf98.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Word Version<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/kdads.ks.gov\/docs\/librariesprovider17\/state-hospitals\/parsons\/service-request-packet.pdf?sfvrsn=a9aa6ae5_11\">Parsons State Hospital Behavioral Outreach Application<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Service-Request-Form.doc\" target=\"_blank\" rel=\"noreferrer noopener\">KNI Outreach Services Request Form<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Dental-consent-Form.doc\" target=\"_blank\" rel=\"noreferrer noopener\">Dental Consent Form<\/a><\/td><\/tr><tr><td><a rel=\"noreferrer noopener\" href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/medical-consent-form.doc\" target=\"_blank\">Medical Consent Form<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4>OTHER RESOURCES<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table class=\"has-text-color\" style=\"color:#1d1d1d\"><tbody><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/ConsumerRights-05-13.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Consumer Rights Hand-out<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/K-PASS-Toolkit-2006.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">K-PASS Self-direction tool kit<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/content.dcf.ks.gov\/ees\/keesm\/keesm.htm\" target=\"_blank\" rel=\"noreferrer noopener\">KS EES Manual<\/a> &#8211; Kansas Economic and Employment Services<\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Abbreviations.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">List of Abbreviations<\/a><\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Parental-Fee-Program.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Parental Fee Program<\/a> (Note: this PDF may contain old information. KDADS webpage is down)<\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/index.php\/resources\/\" data-type=\"page\" data-id=\"59\">Resources for Douglas\/Jefferson Counties<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4>CDDO BROCHURES<\/h4>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\" style=\"font-size:15px\"><table class=\"has-text-color\" style=\"color:#1d1d1d\"><tbody><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Transition-Planning-Brochure-01-06-26.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Transition Planning Guide<\/a> &#8211; Planning from age 5 through High School graduation and into Adult Services<\/td><\/tr><tr><td><a href=\"https:\/\/www.cwcddo.org\/wp-content\/uploads\/2022\/11\/Service-Choice-Brochure-1-23-26.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Choosing Service Providers<\/a> &#8211; A list of topics to discuss and questions to ask potential service providers<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 CDP (Cottonwood CDDO Consumer Database Portal) IDD-1 I\/DD Medicaid waiver individual choice MR-6 Consumer-directed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/template-full-notitle.php","meta":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/pages\/55"}],"collection":[{"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/comments?post=55"}],"version-history":[{"count":46,"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/pages\/55\/revisions"}],"predecessor-version":[{"id":2533,"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/pages\/55\/revisions\/2533"}],"wp:attachment":[{"href":"https:\/\/www.cwcddo.org\/index.php\/wp-json\/wp\/v2\/media?parent=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}