| October | Attachments |
| Notice #: 101521-1-I-SWCBS: Notice of Instruction: October 2021 EHEAP/EHEAP American Rescue Plan (ARP) Application and Eligibility Update | EHEAP Fillable Application (Updated Oct. 2021)
LIHEAP Benefits Matrix (Updated Oct. 2021) |
| Notice #: 100621-1-I-SWCBS: NAPIS Reporting, FFY 2020-21 | (none) |
| September | Attachments |
| Notice #: 091021-1-I-SWCBS: September 2021 EHEAP Application Update | EHEAP Fillable Application (Updated Sept. 2021)
LIHEAP Benefits Matrix (Updated Sept. 2021) |
| August | Attachments |
| Notice #: 081621-1-SWCBS: Notice of Instruction: Tai Ji Quan Program Guidance | See Programs & Services Handbook
|
| Notice #: 080921-1-I-CBS: Notice of Instruction: High and Low Priority Score Bills | Rank 1 and 2 – 701S Post Screening Letter
Rank 3 and 4 – 701S Post Screening Letter
Rank 5 – 701S Post Screening Letter |
| July | Attachments |
| Notice #: 072821-1-I SWCBS: Notice of Instruction: 2022 Area Plan Update | 2020 FINAL CFO Allocation Sheet
Summary of Changes 2022
2022 Area Plan Update Contract Module |
| Notice #: 072721-1-I SWCBS: Notice of Instruction: Care Plan Form 203A Update July 2021 | DOEA Care Plan Form 203A Revised July 2021 |
| Notice #: 072321-1-1-SWCBS: Notice of Instruction: 2021 ADI-CCE Co-Payment Information | Co-Pay Financial Worksheet
Co-Pay Schedule Individual
Co-Pay Schedule Couple
Co-Pay Financial Worksheet Instructions |
| March | Attachments |
| Notice #: 32221-1-T-OS: Notice of Transmittal: Public Records Request for 701S Screening Documentation and 701S Rank | 2021-03-17 Notice of Privacy Practices
2021-03-17-Notice-of-Privacy-Practices_Spanish |
| Notice #: 031921-1-I-SWCBS: Notice of Instruction: Public Records Request for 701S Screening Documentation and 701S Rank | HIPAA Authorization |
| Notice #: 031921-1-I-SWCBS: Notice of Instruction: Aging and Disability Resource Center Updates to EMS Procedures, location of LTCPE slides and AHCA LTC website | SMMC LTC EMS Procedures |
| February | Attachments |
| Notice #: 021821-1-I-SWCBS: Notice of Instruction: Attestation of Compliance Candidate Form | DOEA Form 236 Attestation of Compliance – Candidate |
| January | Attachments |
| Notice#: 012021-1-I-SWCBS: Notice of Instruction: Attestation of Compliance Employer Form and Attestation of Compliance Candidate Form | DOEA Form 235 Attestation of Compliance – Employer
DOEA Form 236 Attestation of Compliance – Candidate |
