Louisiana Department of Health & Hospitals | Bruce Greenstein, Secretary
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Community Choices Waiver - Required Forms
Tuesday, April 30, 2013
The following are required forms for Community Choices Waiver.
Related Items
Form - Referral
Form - 148W
Form 148-w Instructions
Form - 142
Form - Budget
Form - Plan of Care
Form – Clinical Assessment Protocols Summary (CAPS)
Form - Back-Up Staffing Plan
Form - Emergency Plan
Form - Nursing/Therapy Payment Authorization
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