• 2-9EA Acquired Brain Injury Waiver Self-Administered Services Employment Agreement
• 2-9EA Community Supports Waiver Self-Administered Services Employment Agreement
• 2-9EA Limited Supports Waiver Self-Administered Services Employment Agreement
• 2-9EA Physical Disabilities Waiver Self-Administered Services Employment Agreement

• 2-9C Acquired Brain Injury Application for Certification
• 2-9C Community Supports Waiver Application for Certification
• 2-9C Limited Supports Waiver Application for Certification
• 2-9C Physical Disabilities Waiver Application for Certification

• 2.9-OT Overtime Increase Request
• 2.9-T Notice of Termination of FMS Services
• Background Check Application Instructions
• Self-Administered Services Review Checklist
• 5-3 DSPD Code of Conduct Certification
• 5-3 Certificación de Código de Conducta
• Support Strategies
• Monthly Summary
• Service Specific Training

• 5-2 Deceased Client Report Form

• 1-6 Invitation to Submit Offer to Provide Services (PDF)
• 1-6 Invitation to Submit Offer to Provide Services (Word Version)

• DSPD Code of Conduct
• Department of Human Services Code of Conduct
• 5-3 Code of Conduct Certification
• 5-3 Certificación de Código de Conducta

• 201 Supported Work Independence Client Information Form
• 202 Supported Work Independence Participation Agreement
• 203 Community Services Brokering Action Plan

• DSPD Employment Services Workflow
• Employment Services Guidance
• Employment Services Decision Tree
• SEI Supplemental Supports
• Employment Pathway Tool Walkthrough
• Employment Pathway Tool PDF Version- All Pathways
  • DSPD Employment Pathway Tool Response Page
  • DSPD Employment Pathway Tool: Pathway A
  • DSPD Employment Pathway Tool: Pathway B
  • DSPD Employment Pathway Tool: Pathway C
  • DSPD Employment Pathway Tool: Pathway D
• Employment Pathway Tool Guide

• Certified Provider Background Screening Application
• Youth Background Screening Application
• Certified Provider Background Screening Application Instructions
• DHS Conflict of Interest – Declaration Form
• 1-2 Authorization to Furnish Information and Release from Liability
• 1-18 Request to Amend or Add to Record
• 1-19 Evaluation for ESMC Waiting List One-Time Funded Services
• 295 CAPS Form – One-Time Payment Form
• One Time Payment Process STC
• One Time Payment Process EA/SM/MAG
• 801 PASRR Categorical Determination
• 802 PASRR Individualized Determination
• 902 Physical Examination Report
• 928 Exceptional Needs Prior Authorization for Residential Habilitation
• ICF/ID Transition Fact Sheet
• Employee Medicaid Disclosure
• DSPD Civil Commitment Referral

• 520 Provider Service Invoice Form

Training Webinars:

• USTEPS e520 Provider Training
• USTEPS e520 SC Training