General DDDS Information
- Stockley Center Feasibility Study
- Delaware Developmental Disabilities Council Five-Year State Plan: 2022 – 2026 State Plan Summary
- DDDS HCBS Waiver Certification Standards and Neighborhood Home Regulations
- DDDS Policies
- DDDS Provider Rates
- Change of Information Form for Providers for the DDDS Website
- Contract Referenced DHSS Policy Memoranda
- Policy Memorandum #36 – Standardized Requirements During the Development Phase of Community Based Residential Homes for the DHSS/Division
- Policy Memorandum #40 – Criminal Background Check
- Policy Memorandum 40 – Addendum A
- Policy Memorandum #62 – Housing/Rent Calculations
- Policy Memorandum #62 Frequently Asked Questions
- Information on how to become an Authorized Provider
- Clarification of Definition of “Toxic Chemicals” in DDDS Standards
For Individuals and Families
- Application for Services
- Consent for Release of Confidential Information Form
- Health Information Privacy Complaint
- Notice of Health Information Privacy Practices
- Comparison of Lifespan Waiver versus Diamond State Health Plan
- DDDS Annual Incident Report 2021
For Nurses
Forms
- AIMS
- Aspiration-Choking Screening Tool (March 2023)
- Competency Evaluation Tool – Enteral Tube Continuous Feeding, Discontinuation of Feeding and Flush (January 2023)
- Competency Evaluation Tool – Enteral Tube Gravity Feeding (January 2023)
- Competency Evaluation Tool – Enteral Tube Medication Administration for Shared Living Providers Non-Nurses ONLY (January 2023)
- Competency Evaluation Tool – Enteral Tube Water Flushes/Hydration (January 2023)
- Competency Evaluation Tool – General Knowledge of Enteral Tubes (January 2023)
- CAIR
- Controlled Substance Count Sheet (November 2023)
- Daily/Weekly Medication & Health Review Form (November 2023)
- Dental Appointment Information Record (DAIR) (November 2023)
- Diet Order Form (November 2023)
- Enterostomy Tube Information Form for Shared Living Providers Non-Nurses ONLY (January 2023)
- Fall Risk Screening Tool (August 2022)
- Hospital Discharge Worksheet (November 2023)
- Immunization Record
- Medical Alert Form
- Medical Appointment Information Record (MAIR) (November 2023)
- Medication Count Sheet
- Medication Device Assessment Form – Shared Living
- Medication Device Data Form – Shared Living
- Medication Form for Leave/Vacation (November 2023)
- Non-Controlled Medication Count Form (November 2023)
- Nurse Consultation Exception Rate Request Form (November 2023)
- Nursing Enteral Tube Form (January 2023)
- Nutrition Referral (January 2023)
- Over the Counter Medication Form (November 2023)
- Physical Examination Form
- Psychiatric Appointment Information Record (PAIR)
- Routine Adult Immunization Declination Form (March 2023)
- Seizure Rescue Medication Order Form (October 2022)
- Self Administration of Medication Approval Form (January 2023)
- Self Administration of Medication Approval Form – Shared Living (September 2024)
- Self Administration of Medication Assessment Form (January 2023)
- Self Administration of Medication Assessment Form – Shared Living (September 2024)
- Self Administration of Medication Data Sheets (January 2023)
- Self Administration of Medication Data Form – Shared Living (September 2024)
- Self Administration of Medication Using a Medication Administration Device Approval Form (July 2024)
- Self Administration of Medication Using a Medication Administration Device Assessment Form (July 2024)
- Transfer Planning Conference (TPC) RN Checklist (November 2023)
Protocols
- Aspiration and Choking Healthcare Protocol #1
- Enterostomy Tube Management Healthcare Protocol #2
- Fall Management Healthcare Protocol #3
- Nutrition Management Healthcare Protocol #4
- Self Administration of Medication Healthcare Protocol #5
- Self Administration of Medication – SLP Healthcare Protocol #5a
- Medication Administration Devices Healthcare Protocol #6
- Medication Administration Devices – SLP Healthcare Protocol #6a
Manuals
Shared Living Medication Administration
- Shared Living Monthly Medication and Tube Feeding Record (October 2024)
- Shared Living Supervised Medication Pass Observation Form (October 2024)
Limited Lay Administration of Medication
- DE Board of Nursing LLAM Definitions
- DE Board of Nursing LLAM FAQs (Nov 2022)
- DE Board of Nursing LLAM Policy and Procedures (May 2020)
- DE Board of Nursing LLAM Training Course Manual for Instructors (May 2019)
- LLAM Guidelines
- LLAM DDDS Module for Instructors (July 2024)
- DDDS Clarification of Healthcare Provider Orders Guidance (October 2024)
- DDDS Medication Error Definitions Guidance (July 2024)
- LLAM Powerpoint Table of Contents
- LLAM Initial PPT (July 2024)
- LLAM Renewal PPT (July 2024)
- LLAM Pre-requesite Checklist (April 2023)
- Supervised Field Medication Pass Observation Form (April 2023)
For Providers
Provider Forms
- Fleet Report
- Fleet Vehicle Request Form
- Fleet Authorized Driver Designation Application for Providers Form
- Clinical Consultation Template (RN & BA)
- Day Service Template
- Residential Service Invoice Template
Span Billing
- CMS State Medicaid Manual: | Chapter 2 – State Organization: Section 2500.2
- DMAP General Policy Manual: Section 1.12.1 General Documentation Requirements – Go to Page 33
- DDDS HCBS Contract: Appendix A Section 3.1.b. Payments – Division Requirements for Specified Vendors
- DMAP DDDS Lifespan Waiver Provider Specific Manual: Section 5.5 Provider Billing General Information, Service Documentation – Go to Page 54
Managed New Site Application Forms
