№ lp_1_2_64566
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This document is a form used by the New Jersey Department of Human Services for making retroactive changes to the Individualized Service Plan (ISP) in cases of errors or modifications to service details, requiring signatures from involved parties.
Year:
2023
Region / City:
New Jersey
Theme:
Support Coordination, Developmental Disabilities
Document Type:
Form
Organ / Institution:
New Jersey Department of Human Services
Author:
New Jersey Department of Human Services
Target Audience:
Support Coordinators, Service Providers
Period of Action:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
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Document type:
Administrative request form
Program:
Division of Developmental Disabilities services
Applicable to:
Individualized Service Plans (ISPs)
Purpose:
Retroactive correction of service entries
Using organization:
Support Coordination Agencies
Responsible authority:
Division of Developmental Disabilities
Geographic scope:
New Jersey
Submission system:
iRecord
Reviewing roles:
Support Coordinator Supervisor, Division Assigned QAS
Contact email:
[email protected]
Timeframe covered:
Past service dates
Approval status required:
Approved ISP
Source category:
Government administrative record
Organization:
US-Latin American-Caribbean HIV/HPV-Cancer Prevention Clinical Trials Network (ULACNet)
Document type:
Guidance document
Subject:
Delegation of Tasks Logs (DTLs) and Registration and Credential Repository (RCR) procedures
Applicable to:
ULACNet clinical research studies
Regulatory framework:
Good Clinical Practice (GCP), Food and Drug Administration (FDA), National Cancer Institute (NCI) requirements
Related entities:
Lead Academic Organizations (LAOs); DCP Regulatory Contractor
Scope:
Accruing clinical research sites participating in ULACNet protocols
Referenced standards:
ICH GCP E6 R2; FDA Guidance for Industry Investigator Responsibilities — Protecting the Rights, Safety, and Welfare of Study Subjects
Purpose:
Requirements and procedures for initiation, completion, submission, review, and maintenance of DTLs and RCR registrations
Audience:
Site principal investigators, investigators, sub-investigators, and clinical research personnel involved in ULACNet studies
Year:
2021
Region / City:
United States
Subject:
Veterans Benefits
Document Type:
Procedural Manual
Agency / Institution:
Department of Veterans Affairs
Author:
Not specified
Target Audience:
VA staff, Claimants
Period of validity:
April 1, 2021 onwards
Approval Date:
October 1, 2014
Date of changes:
July 26, 2019, January 5, 2021, October 1, 2014
Year:
2026
Region / City:
United States
Topic:
Social Work Accreditation
Document Type:
Guidelines
Organization / Institution:
Council on Social Work Education (CSWE)
Author:
Board of Accreditation (BOA)
Target Audience:
Social Work Education Programs, Accreditation Bodies
Period of Action:
Fall 2026
Approval Date:
N/A
Amendment Date:
N/A
Document type:
Administrative request form
Program:
Division of Developmental Disabilities services
Applicable to:
Individualized Service Plans (ISPs)
Purpose:
Retroactive correction of service entries
Using organization:
Support Coordination Agencies
Responsible authority:
Division of Developmental Disabilities
Geographic scope:
New Jersey
Submission system:
iRecord
Reviewing roles:
Support Coordinator Supervisor, Division Assigned QAS
Contact email:
[email protected]
Timeframe covered:
Past service dates
Approval status required:
Approved ISP
Source category:
Government administrative record
Year:
2025
Region / City:
N/A
Theme:
Social Work Education Accreditation
Document Type:
Accreditation Timetable
Organization / Institution:
Council on Social Work Education (CSWE)
Author:
Board of Accreditation
Target Audience:
Social work program administrators, faculty, and accreditation officers
Period of Action:
June 2025 – June 2027
Approval Date:
N/A
Date of Changes:
N/A
Note:
Date
Special Cases:
EGHP (Employer Subsidy Waiver) Other (explain):
Organization or State Information:
Parent Organization Name or State Medicaid Office; Contract Number(s); Street Address 1; Street Address 2; City, State, Zip Code
Program:
Medicare Part C & D
Subject:
Retroactive enrollment transactions and Enrollment Data Validation (EDV) review process
Type of Document:
Point of Contact (POC) Agreement Form
Contractor:
Reed & Associates, CPA’s – CMS Retroactive Processing Contractor (RPC)
Effective Since:
2007
Related System:
CMS Electronic Retroactive Processing Transmission (eRPT) application; CMS Enterprise Identity Data Management (EIDM) portal
EDV Transaction Groups:
Enrollment/Disenrollment Activity (Transaction Types 51, 61, 80, 81); Resident Address Change Activity (Transaction Type 76)
Retroactive Processing Transaction Types:
Enrollments/Disenrollments/Reinstatements/PBP & Segment Changes; State and County Code (SCC) Updates and Medicaid Status Updates; LIS Deeming Updates
Third Party Contractor (TPC):
Optional designation with authorization to disclose PHI for CMS-related retroactive processing work
PHI Disclosure Authorization:
Authorization for RPC to disclose Protected Health Information to designated contacts
Signing Requirement:
Signature and date required from designated member of Organization or State Medicaid Office responsible for CMS Enrollment Operations
Submission Methods:
Email, fax, or mail to Reed & Associates, CPAs – CMS RPC, 11717 Burt Street, Suite 103, Omaha, NE 68154
Contact Information:
[email protected]
Note:
; Phone 402-315-3660; Fax 402-315-3700
Year:
2023
Region / City:
Oregon
Topic:
Individual support plan, person-centered planning
Document Type:
Instructions
Organization / Institution:
State of Oregon
Author:
Oregon Department of Human Services
Target Audience:
Individuals with support needs, family members, service coordinators, and personal agents
Period of Action:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Year:
2014
Region / City:
California
Topic:
Industry Standard Practice (ISP) Guidance
Document Type:
Working Document
Organization:
T2WG
Author:
Working Group Participants
Target Audience:
T2WG Participants
Action Period:
Ongoing until final report is produced
Approval Date:
N/A
Date of Modifications:
N/A
Year:
2026
Region / City:
Victoria, Australia
Topic:
Refund request process for international students
Document Type:
Instructional guide
Institution:
Education Victoria
Author:
Finance and Business Support Unit, International Education Division
Target Audience:
Parents or legal custodians of international students
Period of validity:
Ongoing
Approval Date:
Not specified
Date of changes:
Not specified
Year:
2023
Region / City:
Australia
Theme:
Education, International Student Program
Document Type:
Policy
Institution:
Department of Education
Author:
International Education and Partnerships Division
Target Audience:
Education agents, international students
Validity Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2023
Region / City:
Not specified
Theme:
Healthcare, Service Coordination
Document Type:
Instructional Form
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Support Coordinators, Service Providers
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
Not specified
Jurisdiction:
New Jersey
Program:
Division of Developmental Disabilities
Document type:
Administrative checklist
Purpose:
Review and approval of Individualized Service Plans
Responsible role:
Support Coordination Supervisor
Related system:
iRecord
Related documents:
ISP Plan Reviews: Guidance for SCAs; Amended ISP Quick Reference Guide
Applicable plans:
Initial plans; SCA reassignment plans; anniversary plans; retirement plans; tier change plans; waiver program transition plans
Exclusions:
ISP plan revisions
Approval process:
Supervisor review and submission to State Review (SR1) when required
Target population:
Individuals receiving DDD services
Document type:
Review checklist
Program area:
Developmental disabilities services
Subject matter:
Individualized Service Plan review and approval
Responsible role:
Support Coordination Supervisor
Related system:
iRecord
Applicable plans:
Initial plans, SCA reassignment plans, anniversary plans, tier change plans, waiver program transition plans, retirement plans
Jurisdiction:
New Jersey
Related agency:
Division of Developmental Disabilities
Referenced guidance:
ISP Plan Reviews: Guidance for SCAs; Amended ISP Quick Reference Guide
Intended users:
Support Coordination Supervisors
Approval workflow:
Supervisor review, upload to iRecord, approval or submission to State Review (SR1)
Checklist scope:
Documentation verification, quality review, service review, supervisor attestation
Year:
2019
Region / City:
Melbourne, Victoria
Topic:
International student policy
Document Type:
Policy
Institution:
Department of Education and Training, International Education Division
Author:
International Education Division
Target Audience:
International students, parents, agents, schools
Effective Period:
Ongoing (reviewed annually)
Approval Date:
29/11/2019
Modification Date:
N/A
Year:
2014
Region:
Pacific
Topic:
Gender-based Violence, Data Sharing
Document Type:
Guidance and Template
Organization:
GBVIMS / relevant GBV service agencies
Audience:
Organizations sharing GBV administrative data
Content:
Guidelines and template for creating an Information Sharing Protocol (ISP) regulating GBV administrative data sharing
Terminology:
Use of the term ‘Survivor’ for victims/survivors
Implementation:
Steps and key questions for developing and implementing an ISP
Year:
2016
Region / City:
California
Topic:
Energy Efficiency, Industry Standard Practice, Custom Projects
Document Type:
Report
Organization:
CPUC, PG&E
Authors:
Tim Xu, Rafael Friedmann
Target Audience:
Energy professionals, regulatory bodies, program implementers
Period of validity:
Not specified
Approval Date:
Not specified
Date of Changes:
December 2016