Trailer Bill Changes for Restored Services and New Participant-Directed Services

Downloadable Documents

• TBL for Restored Services and New Participant-Directed Services
  • Arabic
  • Hmong
  • Japanese
  • Korean
  • Laotian
  • Russian
  • Simplified Chinese
  • Traditional Chinese
  • Spanish
  • Tagalog
  • Vietnamese
• Enclosure A – Standard Vendorization Checklist for Restored Services
• Enclosure B – DS1890 Vendor Application
• Enclosure C – DS1891 Applicant Vendor Disclosure Statement
• Enclosure D – W-9 Request for Taxpayer Identification Number and Certification
• Enclosure E – HCBS Provider Agreement Form w Sample
• Enclosure F – Service Description