Documents

37

Form AGL-08 "Older Adult Daily Living Center Operations and Demographics Form" - Pennsylvania

Rate (4.8 / 5) 25 votes
Size: 137 KB
4 pages

Form AGL-07 "Older Adult Daily Living Centers Provider Self-certification and Civil Rights Compliance Form" - Pennsylvania

Rate (4.7 / 5) 20 votes
Size: 164 KB
4 pages

Form AGL02 "Application for License" - Pennsylvania

Rate (4.8 / 5) 8 votes
Size: 82 KB
3 pages

Instructions for Form AGL-09 "Unusual Incident Report Form" - Pennsylvania

Rate (4.8 / 5) 18 votes
Size: 18 KB
1 page

"Caregiver Assessment Tool (Cat)" - Pennsylvania

Rate (4.4 / 5) 10 votes
Size: 380 KB
18 pages

"Needs Assessment Tool - Express (Nat-E)" - Pennsylvania

Rate (4.7 / 5) 33 votes
Size: 279 KB
13 pages

"Needs Assessment Tool (Nat)" - Pennsylvania

Rate (4.3 / 5) 11 votes
Size: 1 MB
34 pages

"Registration Form for Older Adult Daily Living Center (Oadlc) Online Director Training" - Pennsylvania

Rate (4.8 / 5) 11 votes
Size: 50 KB
1 page

"Initial Application Checklist for Older Adult Daily Living Center Licensure" - Pennsylvania

Rate (4.3 / 5) 91 votes
Size: 121 KB
4 pages

"Older Adult Daily Living Center Unusual Incident Report" - Pennsylvania

Rate (4.8 / 5) 16 votes
Size: 127 KB
2 pages

"Chapter 11 - Older Adult Daily Living Centers Fire Drill Log" - Pennsylvania

Rate (4.8 / 5) 19 votes
Size: 296 KB
1 page

"Adult Day Center Intake Screening Form" - Pennsylvania

Rate (4.3 / 5) 8 votes
Size: 225 KB
6 pages

"Level of Care Determination (Lcd)" - Pennsylvania

Rate (4.7 / 5) 10 votes
Size: 335 KB
19 pages

"Domiciliary Care Request for Waiver of Regulation" - Pennsylvania

Rate (4.6 / 5) 9 votes
Size: 61 KB
1 page

"Consumer - Adverse Action Notice and Appeal Instructions" - Pennsylvania

Rate (4.3 / 5) 14 votes
Size: 223 KB
6 pages

"Provider - Adverse Action Notice and Appeal Instructions" - Pennsylvania

Rate (4.8 / 5) 24 votes
Size: 218 KB
5 pages

Attachment 1 "Older Adult Daily Living Center Request for Waiver of Regulation 6 Pa. Code 11.5" - Pennsylvania

Rate (4.8 / 5) 10 votes
Size: 70 KB
1 page

"Older Adult Daily Living Centers Care Plan Form" - Pennsylvania

Rate (4.4 / 5) 82 votes
Size: 52 KB
5 pages

"Interim Policy and Procedure Checklist" - Pennsylvania

Rate (4.7 / 5) 32 votes
Size: 49 KB
1 page

"Pre-application Checklist" - Pennsylvania

Rate (4.8 / 5) 65 votes
Size: 30 KB
2 pages

"New Provider Checklist - Domiciliary Care Program" - Pennsylvania

Rate (4.7 / 5) 22 votes
Size: 9 KB
1 page

"Covid-19 Consumer Health Screening Tool" - Pennsylvania

Rate (4.5 / 5) 10 votes
Size: 222 KB
1 page

"Covid-19 Consumer Comfort-Level Screening Tool" - Pennsylvania

Rate (4.6 / 5) 8 votes
Size: 2 MB
1 page

Appendix C.2 "Consumer Reimbursement for Personal Care or Home Support Services - Options Program" - Pennsylvania

Rate (4.6 / 5) 31 votes
Size: 139 KB
2 pages

Appendix C.1 "Consumer Reimbursement: Self-employed/Independent Contractor Declaration - Options Program" - Pennsylvania

Rate (4.5 / 5) 18 votes
Size: 34 KB
1 page

Appendix C.1 "Conditions of Participation/Certificate of Accountability - Caregiver Support Program" - Pennsylvania

Rate (4.6 / 5) 32 votes
Size: 103 KB
2 pages

Appendix C.2 "Self-employed/Independent Contractor Declaration - Caregiver Support Program" - Pennsylvania

Rate (4.6 / 5) 7 votes
Size: 40 KB
1 page

"House Rules" - Pennsylvania

Rate (4.3 / 5) 7 votes
Size: 10 KB
1 page

Appendix C.3 "Consumer Reimbursement Request - Options Program" - Pennsylvania

Rate (4.8 / 5) 10 votes
Size: 72 KB
1 page

"Domiciliary Care Home Provider Medical Recommendation" - Pennsylvania

Rate (4.6 / 5) 23 votes
Size: 15 KB
1 page

Appendix C.3 "Caregiver Reimbursement for Services and Supplies Form - Caregiver Support Program" - Pennsylvania

Rate (4.7 / 5) 17 votes
Size: 57 KB
1 page

Appendix C.4 "Caregiver Reimbursement for Personal Care and in-Home Respite Services - Caregiver Support Program" - Pennsylvania

Rate (4.8 / 5) 32 votes
Size: 188 KB
4 pages

Instructions for "Caregiver Assessment Tool (Cat)" - Pennsylvania

Rate (4.4 / 5) 20 votes
Size: 1 MB
24 pages

Instructions for "Needs Assessment Tool - Express (Nat-E)" - Pennsylvania

Rate (4.3 / 5) 11 votes
Size: 313 KB
28 pages

Instructions for "Adult Day Intake Screening" - Pennsylvania

Rate (4.8 / 5) 22 votes
Size: 188 KB
2 pages

Instructions for "Domiciliary Care Request for Waiver of Regulation" - Pennsylvania

Rate (4.8 / 5) 19 votes
Size: 13 KB
2 pages