Exit Conference Guidelines (PC010 CB)
These guidelines are used as an outline of information to be discussed during the Exit Conference.
Exit Conference Sign in Sheet (PC011 CB)
This sheet is used when surveyors meet with the provider to brief on the completed provider compliance review.
Combined IO and Level One Waiver H/PC – Agency Review Tool (PC012)
This is a combination of IO Waiver HPC tool and Level One HPC tool created due to the implementation of the new IO HPC Rule 5123:2-13-04 in July 2005.
Level One Waiver Transportation - Agency Review Tool (PC029)
L1-Agency-Institutional Respite (PC030)
Level One Waiver Environmental Accessibility Adaptations – Agency Review Tool (PC031)
Level One Waiver Specialized Medical Equipment – Agency Review Tool (PC032)
Combined IO and Level One H/PC – Individual Review Tool (PC015)
This is a combination of IO Waiver HPC tool and Level One HPC tool created due to the implementation of the new IO HPC Rule 5123:2-13-04 in July 2005.
Level One Waiver Informal Respite – Individual Review Tool (PC036)
Level One Waiver Environmental Accessibility Adaptations – Individual Review Tool (PC037)
Level One Waiver Specialized Medical Equipment – Individual Review Tool (PC038)
Sample Key (PC065)
Suggested sample numbers of records needed in a PC review can be referenced on form PC066 on the Provider Compliance Pre-review Documents page.