Supports for Community Living Waiver Branch
The application can now be done in the Medicaid Waiver Management Application.
Paperwork for Level of Care Determination
- Life Story
- A physical examination conducted within the last twelve (12) months.
- A complete psychological evaluation that includes an IQ test and current adaptive behavior assessment (if it has been updated since applying for SCL funding).
- SCL Level Of Care Recertification Form (this form is also available within the MAP-530)
Paperwork to Receive Plan of Care Prior Authorization
New SCL2 Forms
This page provides links to new forms developed for SCL2.
All Medicaid (MAP) forms will continue to be found on the Department for Medicaid Services (DMS) SCL Web page under Forms in the right-hand column.