№ files_lp_3_process_9_32176
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File size: 39 KB
Administrative request form for obtaining or modifying access to the DMHAS Critical Incident application and secure network, including user identification details, facility authorization, and a signed confidentiality pledge under applicable privacy regulations.
Organization:
Department of Mental Health & Addiction Services (DMHAS)
Region:
State of Connecticut
Document Type:
Administrative Form
Subject:
CI Access and VPN Token Request
Related System:
Critical Incident (CI) Application
Related Network:
DMHAS Secure Network
Associated Regulation:
HIPAA and State of Connecticut and Federal privacy regulations
Contact Person:
Chrishaun Jackson
Help Desk:
DMHAS Information Technology Help Desk
Required Signatories:
Requester and Facility CEO or Designee
Submission Method:
Fax
Acceptance Conditions:
Typed, complete, current, non-emailed forms only
Price: 8 / 10 USD
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Note:
. FAILURE TO ABIDE BY PASRR RULES WILL RESULT IN FORFEITURE OF MEDICAID REIMBURSEMENT TO THE NF DURING PERIOD OF NON-COMPLIANCE IN ACCORDANCE WITH FEDERAL PASRR REGULATIONS 42 CFR 483.122.
Year:
N/A
Region / City:
N/A
Topic:
Mental Illness and Intellectual Disability Screening
Document Type:
Form
Institution / Organization:
New Jersey Department of Human Services
Author:
N/A
Target Audience:
Healthcare providers and applicants for nursing facility admission
Effective Period:
N/A
Approval Date:
N/A
Modification Date:
N/A
Organization:
Connecticut Department of Mental Health and Addiction Services (DMHAS)
Program:
Targeted Case Management (TCM)
Document Type:
Operational Manual
Publication Date:
November 4, 2020
State:
Connecticut
Funding Framework:
Medicaid State Plan Amendment (SPA)
Regulatory Authority:
Center for Medicare and Medicaid Services (CMS)
Collaborating Agency:
Connecticut Department of Social Services (DSS)
Target Population:
Individuals with serious chronic mental illness, including co-occurring mental health and substance use disorders
Eligible Providers:
DMHAS state operated facilities and contracted Private Non-Profit (PNP) agencies
Data Systems:
WITS (Web Infrastructure for Treatment Services); DDaP (DMHAS Data Performance System); Enterprise Data Warehouse (EDW)
Compliance Components:
Random Moment Time Study (RMTS); Internal Review; External Audit
Reporting Requirement:
Monthly submission of TCM service data to DMHAS
Age Group:
Adults 18 years of age and older
Year:
2026
Region:
Connecticut, USA
Subject:
Mental Health and Substance Use Disorder Services
Document Type:
Procedure Summary
Organization:
Department of Mental Health and Addiction Services (DMHAS)
Author:
DMHAS
Intended Audience:
Clients receiving or seeking services, authorized representatives
Effective Period:
Ongoing
Date of Revision:
January 2026
Complaint Types Covered:
Service denial, involuntary reduction, involuntary termination, discrimination, rights violations, coercion, improper treatment
Procedure Steps:
Informal Resolution, Formal Decision, Commissioner’s Review, Fair Hearing
Contact Information:
Advocacy Unlimited, Connecticut Legal Rights Project, Disability Rights Connecticut, DMHAS Office of the Commissioner
Note:
Year
Document Type:
KB Article
Document type:
Instructional lab manual
Subject:
Site-to-site IPsec VPN configuration
Network technology:
IPsec, ISAKMP, IKE, OSPF
Vendors:
Cisco
Environment:
Packet Tracer
Devices:
Cisco routers and switches
Topology:
Three-router routed network
Security parameters:
AES-256, SHA-1, pre-shared keys, Diffie-Hellman group 5
IP addressing:
IPv4
Authentication method:
Pre-shared key
Encryption scope:
Inter-LAN traffic
Intended use:
Network configuration and verification exercise
Target audience:
Networking students and instructors
Source format:
Instructor version
Configuration scope:
Router R1 and Router R3
Verification methods:
Ping, show crypto ipsec sa
Routing protocol:
OSPF
License requirement:
Security Technology Package (securityk9)
Year:
2026
Organization:
Lumen Technologies
Document type:
User guide
Target audience:
Employees requiring remote VPN access
Technologies:
GlobalProtect, Microsoft Authenticator, MobilePass+
Regions:
North America, EMEA, APAC, LATAM
Purpose:
Instructions for connecting, authenticating, and troubleshooting VPN access
Support contacts:
Lumen Help Desk (regional phone numbers and My Support Desk link)
Note:
Year
Year:
2025
Note:
Region / City
Subject:
Network Security
Document Type:
Request Form
Organization / Institution:
Principle Networks
Author:
Adnan Fatah
Target Audience:
Technical Staff, Network Administrators
Approval Date:
29/05/2025
Sponsor:
Information Security, DCO
Effective Date:
May 1, 2018
Last Review Date:
September 5, 2018
Report Errors:
[email protected]
Target Audience:
Support staff and remote users
Scope:
Remote access to UTHealth network via VPN
Platforms:
Windows, Mac, Chrome OS, Android, iOS, Linux
Document Type:
Support Guide
Revision History:
Initial release and subsequent updates including Linux and Chrome OS sections
Year:
2023
Region / City:
Global
Topic:
Networking / Security
Document Type:
Guide / Tutorial
Organization / Institution:
Cisco
Author:
Cisco
Target Audience:
Networking professionals and students
Period of validity:
Indefinite
Approval Date:
N/A
Modification Date:
N/A
Year:
2021
Region / City:
Global
Topic:
Telecommunications, Networking
Document Type:
Technical Guide
Organization / Institution:
AT&T
Author:
AT&T
Target Audience:
Network Engineers, IT Professionals
Effective Period:
Ongoing
Approval Date:
September 7, 2021
Modification Date:
N/A
Note:
Context
Note:
Year
Organization:
California State University Channel Islands
Department:
Information Technology & Communication (T&C)
Document Type:
Administrative form
Purpose:
Authorization and review of VPN access and local storage or printing of protected data for telecommuting employees
Related Policies:
T&C Business Practice BP-02-004; Interim Policy on Responsible Use IT.03.001; University Policy IT.01.001; CSU Data Classification Standard
Applicable Data Levels:
Level 1 and Level 2 data
Required Approvals:
Appropriate Administrator; Information Security Officer; Chief Information Officer
Signatories:
Employee; Appropriate Administrator; ISO; CIO
Submission To:
T&C Help Desk
Usage Context:
Telecommuting and remote access to CI VPN
Institutional Scope:
CI VPN and University network resources
Year:
2023
Region / City:
Massachusetts
Topic:
VPN Connectivity
Document Type:
Instruction Manual
Organization:
State of Massachusetts
Author:
Unknown
Target Audience:
Users of Pulse Secure VPN in Massachusetts
Period of Validity:
Ongoing
Approval Date:
Not specified
Modification Date:
Not specified
Note:
Year
Theme:
Networking, Cybersecurity
Document Type:
Technical Article
Organization / Institution:
Cisco
Target Audience:
Network Engineers, Cybersecurity Professionals
Year:
2026
Institution:
The Chinese University of Hong Kong
Department:
Information Technology Services Centre (ITSC)
Document Type:
Application Form
Intended Users:
CUHK staff (project leaders or LAN administrators)
Purpose:
Request for restricted VPN access for remote support and maintenance
Required Period:
Specified by applicant
Submission Method:
Email with scanned documents
Rules Reference:
Computer Network Policies and Guidelines on Access and Usage
Data Handling:
Personal data collected for identity verification and contact purposes
Processing Time:
Three working days from submission
Endorsing Authority:
Department/Unit Head
Year:
2026
Region / City:
Chicago, IL, US
Topic:
IT Security / User Authentication
Document Type:
User Guide
Organization:
University of Chicago, BSD IT Services
Author:
BSD IT Services Team
Target Audience:
BSD account holders required to use VPN
Effective Period:
Indefinite
Approval Date:
2026-03-01
Revision Date:
2026-03-01
Device Requirements:
Smartphone, tablet, landline, or hardware token
Year:
2023
Region / City:
N/A
Topic:
Authentication, Security
Document Type:
Instruction Manual
Organization:
FSA
Author:
N/A
Target Audience:
FSA users, individuals accessing ED/FSA systems
Validity Period:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Contextual description:
A user guide detailing the process of replacing a physical security token with a mobile-based soft token for accessing FSA systems.
Year:
2015
Region / City:
Global
Theme:
Cryptoeconomy, Cryptocurrencies
Document Type:
Article
Organization / Institution:
N/A
Author:
N/A
Target Audience:
General public, cryptocurrency enthusiasts
Period of Action:
N/A
Approval Date:
N/A
Modification Date:
N/A