Harvey-Marion County CDDO
Harvey-Marion County CDDO
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  • Community Council
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HMCDDO SERVICE AREA Provider Forms

HMCDDO Webforms

Consumer Status Update
Service initiation / transition form

HMCDDO SERVICE ACCESS Forms

HMCDDO HCBS Access Request Checklist (docx)Download
HMCDDO Request for HCBS IDD Access Form (docx)Download
HMCDDO Request for Personal Needs Funding (docx)Download
HMCDDO Discretionary Funding Request (docx)Download
HMCDDO Discretionary Funding Request for TCM (docx)Download

HMCDDO Transfer & Transition Forms

HMCDDO TCM Transfer Checklist (docx)Download
HMCDDO Service Initiation & Transition Form (docx)Download

HMCDDO Quality Assurance Forms

HMCDDO PCSP QA Review Tool (pdf)Download
HMCDDO Quality Indicators (docx)Download
HMCDDO Services Paid & Delivered (docx)Download

HMCDDO MISC. Forms

HMCDDO Self-Direction Checklist (docx)Download
HMCDDO Transportation Record Form (docx)Download
Consumer Physical Examination Form (docx)Download
  • HMCDDO Staff Login

Harvey-Marion County CDDO

Harvey-Marion County CDDO 500 N. Main Street Suite 204 Newton, KS 67114

(316) 283-7997

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