№ lp_1_2_20038
File format: docx
Character count: 4575
File size: 38 KB
Year:
2025
Region / City:
Wisconsin
Topic:
Health Services
Document Type:
Form
Organization:
Department of Health Services, Division of Public Health
Author:
Department of Health Services
Target Audience:
Managed Care Organizations, IRIS Consultant Agencies, PACE Organizations, Bureau of Quality & Oversight
Period of Effectiveness:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Contextual Description:
Form used by organizations to request disenrollment from the Family Care, PACE, Partnership, and IRIS programs in Wisconsin.
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
Not specified
Region / City:
District of Columbia
Topic:
Mental Health Services
Document Type:
Form
Organization / Institution:
Government of the District of Columbia, Department of Behavioral Health
Author:
Not specified
Target Audience:
Adults seeking Mental Health Rehabilitation Services
Effective Period:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2023
Region / City:
New Jersey
Topic:
Disenrollment from DDD Programs
Document Type:
Request Form
Institution:
Division of Developmental Disabilities (DDD)
Author:
DDD Support Coordinator
Target Audience:
Individuals enrolled in DDD programs, legal guardians, DDD staff
Effective Period:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
Not specified
Region / City:
Not specified
Subject:
Involuntary disenrollment from the Health Home program
Document Type:
Procedure/Guideline
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Health Home Care Coordinators, Lead
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
Procedure for handling involuntary disenrollment from the Health Home program due to beneficiary behaviors or environmental concerns.
Country:
United States
State:
Wisconsin
Issuing Body:
Department of Health Services, Division of Medicaid Services
Program:
IRIS (Include, Respect, I Self-Direct)
Form Number:
F-01319
Edition Date:
02/2017
Document Type:
Administrative request form
Subject:
Involuntary disenrollment of IRIS participants
Legal Reference:
Wisconsin State Statute; IRIS Work Instruction Manual Section 7.1A.1
Target Group:
IRIS Consultant Agencies (ICAs)
Applicable Reasons for Disenrollment:
No Spend; No Contact; Health and Safety; Residing in an Ineligible Living Setting; Substantiated Fraud; Mismanagement of Budget Authority; Mismanagement of Employer Authority; Refusal to Comply with IRIS Program Requirements
Sections:
Demographics; Reason for Request; Explanation of Attempted Mitigation Strategies; Conclusion; Applicable to No Contact or No Spend Only
Signature Requirement:
IRIS Consultant Agency Representative
Personal Data:
Participant’s name, MCI, contact history, expenditure information
Year:
2016
Region:
United States and Overseas
Subject:
Health Care Enrollment and Management
Document Type:
Government Form
Agency:
Department of Defense
Author:
Defense Health Agency
Intended Audience:
Active duty service members, retirees, and eligible family members
Effective Period:
Ongoing until updated
Approval:
OMB No. XXXX-XXXX
Previous Edition:
Obsolete
Form Number:
DD Form 2876-3
Application Methods:
Online, Telephone, Paper Submission
Privacy Regulations:
HIPAA, 10 U.S.C. 1079 and 1086, 38 U.S.C. Chapter 17
Note:
Year
Document Type:
Grant-in-Aid Agreement
Milestone 1:
Acceptance of Undertaking under GLA
Milestone 2:
Status report on …………………………..
Milestone 3:
Status report on ………………………………….
Milestone 4:
Status report on …………………………………
Milestone 5:
Submission of final completion report
Expenditure Head:
B.04
Document type:
Emergency communications plan
Plan name:
PACE Communications Plan
Subject:
Continuity of emergency communications during system failures
Scope:
Emergency communications systems
Communication systems covered:
911 phone lines, radio, CAD, landline phones, mass notification systems
Strategy model:
PACE (Primary, Alternate, Contingency, Emergency)
Intended users:
Public safety agencies and partner departments
Distribution scope:
County emergency management agencies, public safety agencies, incorporated cities and towns
Operational context:
Communication system disruptions and failures
Customization level:
Agency-specific implementation
Approval date:
Date Executed
Source category:
Operational planning document
Year:
2023
Region / city:
New Jersey
Theme:
Health services, Elderly care
Document type:
Public notice
Organization / institution:
New Jersey Department of Human Services, Division of Aging Services
Author:
New Jersey Department of Human Services
Target audience:
Eligible entities for PACE programs
Effective period:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2018
Region / City:
Kampala
Subject:
Labour Dispute
Document Type:
Court Appeal
Institution:
Industrial Court of Uganda
Author:
Asaph Ruhinda Ntengye, Linda Lillian Tumusiime Mugisha, and panelists
Target Audience:
Legal professionals, labour officers, employers, employees
Period of Effect:
Not specified
Date of Approval:
Not specified
Date of Amendments:
Not specified
Year:
2022
Region:
Tasmania, Australia
Document type:
Quick Reference Guide
Organization:
National Disability Insurance Agency (NDIA)
Audience:
NDIS Plan Managers
Implementation start date:
14 November 2022 for new participants, 28 November 2022 for existing participants
Systems referenced:
PACE, myNDIS portal, existing myplace provider portal
Purpose:
Outline Day 1 procedures for Plan Managers using the new PACE system
Year:
2019
Region / City:
Not specified
Theme:
Technology Education
Document Type:
Curriculum Outline
Author:
Not specified
Target Audience:
Grade 7 students
Start Date:
11/01/2019
End Date:
05/04/2019
Modification Date:
Not specified
Grade Level:
7th Grade
Subject:
Standard Math
Semester:
2
Term:
Spring 2026
Document Type:
Academic pace chart
Institution:
SJVS
Assessment Types:
Practice Exams, Exams, Discussion-Based Assessments (DBA)
Delivery Format:
Live lessons and online coursework
Break Period:
Spring Break (3/16 – 3/20)
Course Completion Deadline:
5/15/2026
School Year End Date:
5/29/2026
Teacher:
Ms. Williams
Contact Phone:
(904) 515-2169
Contact Email:
[email protected]
Platform:
Zoom
Assessment Policy:
DBA requirements vary by enrollment status (Full-time or Flex)
Note:
Year
Topic:
Continuing Education for Clinical Laboratory Sciences
Document Type:
Application Guidelines
Organization / Institution:
ASCLS
Author:
Andrea Hickey
Target Audience:
Providers seeking P.A.C.E. certification
Validity Period:
Annual
Year:
2025
Region / City:
Oklahoma City, Shawnee, Oklahoma
Subject:
Health care program for elderly
Document Type:
Manual
Organization:
Valir PACE
Author:
Valir PACE Administration
Target Audience:
Healthcare providers participating in the Valir PACE program
Validity Period:
December 2025 - December 2026
Approval Date:
December 2025
Modification Date:
N/A
Year:
2026
Region / City:
Buffalo, New York
Subject:
Developmental Disabilities Support and Community Integration
Document Type:
Program Description
Organization:
The Summit Center
Author:
The Summit Center Staff
Target Audience:
Adults with developmental disabilities
Eligibility Criteria:
Adults 18+ approved by New York State Office for People with Developmental Disabilities, with basic communication, social, and self-care skills, and access to reliable transportation
Program Locations:
UB Campus Dining and Shops (North Campus), Buffalo State College Bengal Kitchen (Chartwells)
Daily Schedule:
7:30 a.m. - 2:30 p.m., including transport, morning and afternoon tasks, and lunch
Staff:
Trained Employment Specialists supporting participants
Contact Information:
716.629.3400, TheSummitCenter.org
Context:
Community-based program description detailing structured daily activities, eligibility requirements, and locations for adults with developmental disabilities to gain work-related skills through an unpaid internship.
Year:
2026
Region:
Australia
Topic:
NDIS plan management
Document type:
Guidance script
Organization:
Abbeena
Author:
Abbeena Community Engagement Team
Target audience:
NDIS participants and plan nominees
NDIS plan system:
PACE
Provider:
Abbeena
Provider registration number:
4050163549
Contact information:
[email protected], www.abbeena.au
Instructions:
How to endorse a plan manager via phone
Year:
2024
Region:
United States
Topic:
Emergency Management Communications
Document Type:
Communications Plan
Organization:
Emergency Management Agency
Author:
Not specified
Target Audience:
Emergency response personnel and agency staff
Scope:
Agency-wide communication protocols during disasters
Communication Types:
Voice, Data
Plan Elements:
Primary, Alternate, Contingency, Emergency
Context:
Agency communications plan detailing layered methods for maintaining contact during emergencies, including voice and data strategies for various failure scenarios.
Year:
2020-2021
Region / School:
Cohort 18
Subject:
Physical Science
Type:
Academic Schedule / Curriculum Plan
Author / Instructor:
Not specified
Target Audience:
Students
Start Date:
January 12, 2021
End Date:
May 7, 2021
Content Coverage:
States of Matter, Atomic Theory, Periodic Table, Electrons and Bonding, Chemical Reactions, Nuclear Reactions, Biotechnology
Assessment Types:
Module Exams, Discussion-Based Assessments, Lab Work
Progress Tracking:
Percent Complete per Lesson
Special Notes:
Grace period ends February 7, 2021; Spring Break March 15-19, 2021
Date:
August 6, 2025
Location:
Pace High School
Organization:
TSVOA (Texas Sports Officials Association Volleyball chapter)
Document Type:
Meeting Minutes
Meeting Chair:
Rolando
Participants Mentioned:
Javier Gonzalez; Shirley Zungia; Tommy Bermudez; Juan Garza; Yadira Reyes; Joe Villafranca; Debbie Esparza; Hector Esparza; Luis Garcia; Beatris Carranza; Cesar Castaneda; Bonnie Salazar; Maribel Partida
Topics:
Chapter administration; officiating procedures; training and testing; uniforms and rules; service recognition; scheduling and match protocols
Financial Report:
Presented by Beatris Carranza regarding balances and debts from the state convention
Training Activities:
TEXAS WAY video participation, rule book study, and training sessions including August 20 session at Pace Gym
Events Mentioned:
South Padre Island Beach Tournament; Coaches’ Meeting on July 20
Awards and Recognitions:
20-year TASO service recognition for Hector Esparza; 10-year service coin for Luis Garcia; TEXAS WAY pins distributed to 35 members
Facilities Mentioned:
Oliveira Middle School Library for TASO Volleyball testing
Training Media Provider:
INCITY HOTSPOTS LLC
Adjournment Time:
8:20 PM
Year:
2023
Region / City:
Wisconsin
Topic:
Risk Management, Medicaid, Health Services
Document Type:
Form
Organization:
Department of Health Services, Division of Medicaid Services
Author:
Not specified
Target Audience:
IRIS program participants and consultants
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified