Report Forms and Resources by Service Area
Forms and other resources specific to each service area are listed below. Contact your Program Specialist for more information on your contract.
(Click on the name of a service area to view that area's resources.)
- Adult Day Services - Day Health and Day Care (ADH/ADC)
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- ADH/ADC Data File Specifications
- Sample ADH/ADC Data File
- ADSA Program Standards for Adult Day Services
- Washington Administrative Code (WAC) files are available on the State's website(see sections 388-71-0702 through 388-71-0776)
- ADH Check List
Providers interested in becoming an approved Adult Day Health or Adult Day Care provider should refer to following resources and the Program Standards and Checklist listed above.
- Adult Day Care Cover Letter
- Adult Day Health Cover Letter
- Adult Day Service Applicant Form
- Guide to Adult Day Services Regulations
- Application Process Information
- Approved ADH/ADC providers in King County
- Location map of approved ADH/ADC providers in King County
- Washington Adult Day Services Association (WADSA)
- Case Management (CM)
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- CM Data File Specifications
- Sample CM Data File
- WAC's for Long Term Care Services
- WAC's for Home & Community Service Programs
- Case Manager Web * Password Protected
- Copes Ancillary Services
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- Family Caregiver Support Program (FCSP)
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- Health Maintenance
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- Health Maintenance Data File Specifications
- Sample Data File for Health Maintenance
- ADSA Program Standards
- Home Care & Home Care Aid Training
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- WAC's for Home & Community Service Programs
- PRN Training Schedule
- Home Care Agency List
- SSPS Home Care Agency Auth Guide
- Fundamentals of Caregiving Learner's Guide (July 2005)
- Information & Assistance (I&A)
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- I&A Data Specifications
- I&A Data Sample
- ADSA Program Standards
- Senior I&A Resource Database Phone: 1-888-435-3377
- Program Standards Appendix A - Title XIX Administrative Claiming
- Crisis Clinic Online Community Resources Phone: 1-800-621-4636 or dial 211
- Mental Health (PEARLS)
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- PEARLS Client Tracking Log
- PEARLS Client Tracking Report Definition
- PEARLS Client Demographic Log
- PEARLS Domestic Partnership Form
- PEARLS Referral Form
- Income Guidelines
- Nutrition Programs
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- Respite
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- SCSA Fee Schedule
- Respite Database Help Manual
- Create/Maintain Caregiver Records
- Create/Maintain Participant Records
- Created Billed Episodes
- Generate BSF Report
- Created Billed Episodes - from annotated BSF Report
- Respite Reports
- Title V - Job Training
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- For information on Title V Job Training for ages 55+, please contact Lori Mina at (206) 615-1753.
- Transportation
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- Other Programs
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Sub-contractors in the following service areas use the Online Client Profile Report to submit aggregate client demographics on a monthly basis. Contact your program specialist for log-in and password information.
- Alzheimer's Project
- Disability Services
- Health Promotion
- Home Sharing
- Legal Services
- Senior Centers
- Transportation
