№ files_lp_4_process_2_63381
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Form for submission of medical necessity and utilization review for continued autism treatment services under Medicaid and CHIP programs.
Year: 2019
Region: United States
Topic: Autism treatment services
Document Type: Medical necessity and utilization review form
Agency/Institution: Department of Health
Author: Board Certified Behavior Analyst
Target Audience: Medicaid and CHIP participants, guardians/caregivers
Effective Period: 6 months
Approval Date: August 2019
Required Documentation: Treatment plan, Vineland-II report, IEP/school evaluations, other relevant records
Service Intensity Levels: Low intensity, High intensity
Purpose: Evaluation of continued autism treatment services and authorization of Medicaid/CHIP benefits
Clinical Requirements: Signed treatment plan, caregiver participation, provider attestations
Contains: Unit requests, actual utilization, statement of medical necessity, approval section
Price: 8 / 10 USD
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6-Month Report Prompts Template
Note: Year
Early Intervention Progress Report for 6-Month and Annual IFSP Reviews
Program: Early Intervention Program
Jurisdiction: New York State
Governing body: New York City Early Intervention Program (NYCEIP)
Document type: Progress report
Review type: 6-month and annual IFSP review
Submission deadline: No later than 2 weeks prior to scheduled review
Primary participants: Child, parent(s), interventionist, service coordinator
Reporting scope: Functional outcomes, objectives, service delivery, collaboration, and progress assessment
Preferred format: Typed report
Required attachments: Session notes and progress notes provided to parents
Compliance statement: Certification of service delivery in accordance with IFSP
Source type: Administrative program documentation
Supplementary File A: Functional ambulation and mobility outcomes at 3- and 6-month follow-ups
Year: 2026
Region: Not specified
Subject: Rehabilitation and functional mobility
Document type: Supplementary data file
Institution: Not specified
Authors: Not specified
Population: Patients monitored for ambulation and mobility changes
Timepoints: 3 months, 6 months
Measures: Functional Ambulation Category, Functional Mobility Scale, Self-reported gait changes, Symptom severity, Outcome measures (HADSA, HADSD, FSES, TSK, PHQ15, WSAS, SF-PCS, SF-MCS)
Methodology: Longitudinal analysis using linear mixed models
6-month No Cost Extension (NCE) Request
Note: Year
Context: A form for requesting a 6-month no-cost extension for a grant project.
User Social Impact Survey Follow-Up In-Person – Instructions and Modules for 6-Month or 1-Year Assessment
Year: 2026
Region / City: Not specified
Topic: Social impact and household adoption of clean cooking technologies
Document Type: Survey instrument / guidance
Organization: Not specified
Author: Not specified
Target audience: Survey enumerators and data collectors
Period covered: 6 months or 1 year after initial product acquisition
Date of preparation: 2026
Survey modules: Background information, Product information, Household economic stability, Usage/adoption, Cooking time
Instructions included: Yes, for enumerators on administering the survey and customizing text
Optional modules: Light blue modules indicated
Response customization: Required for context-specific tasks and season names
Data entry requirements: User IDs must match baseline survey
Evaluation of the RHY Transitional Living Program Young Adult 6-Month Tracking Survey
Year: 2026
Region / City: United States
Subject: Youth transitional living program evaluation
Document Type: Survey form
Organization / Institution: RHY Transitional Living Program
Author: Program research team
Target Audience: Young adults participating in the program
Duration: 18 months
Data Collection Period: 6-month follow-up
Incentive: Electronic gift card to Amazon.com
Survey Components: Welcome screen, Tracking screen, Contact information, Closing screen
Compliance: Paperwork Reduction Act
Operator, Roads Contract Position at Town of Newmarket, 6-Month Term
Year: 2023
Location: Newmarket, Ontario, Canada
Sector: Public Works / Infrastructure Maintenance
Document Type: Job Posting
Organization: Town of Newmarket
Position: Operator, Roads Contract
Employment Duration: 6 months
Work Hours: 40 hours per week
Application Deadline: November 30, 2023
Salary: $27.89 - $34.86/hour
Requirements: Grade 12 diploma, Class “D” Driver’s License with Z-air brake endorsement, infrastructure maintenance experience, winter maintenance experience, Confined Space Entry, Basic First Aid, CPR, WHIMIS Certification
Shift: Afternoon or night shift from November to March, flexible shifts from April to October
Background Check: Police Vulnerable Sector Check
IT/Database Officer Terms of Reference – 6-Month Assignment
Duty Station: (city), (country)
Position Title: IT/Database Officer
Classification: P2
Duration: 06 months (renewable)
Reporting To: Chief of Mission, Senior Programme Officer, Senior Resource Management Officer
Coordination: ITC Service Centre, Manila
Responsibilities: Management of IT infrastructure, system development, database administration, SLIMS implementation, network monitoring, user training, technical support
Education: University degree in Computer Science or equivalent
Experience: Minimum three years in multi-site network administration, database management, IT system implementation
Certifications: Microsoft (MCSA, MCSE, MCDBA) or Cisco (CCNA) advantageous
Skills: Communication, planning, organization, independent work, gender awareness, cross-cultural teamwork
Languages: Excellent knowledge of (language), knowledge of (language) advantageous
Type of Document: Terms of Reference / Job Description
Context: Official job description detailing IT and database responsibilities for IOM operations, including system management, user training, and technical support for country-level offices.
Supplementary Material: Measures Used at Screening, Pre- and Post-Intervention and Follow-ups (3- and 6-Month)
Document type: Supplementary research material
Subject area: Eating disorders and mental health assessment
Content type: Measurement and assessment schedule
Study context: Intervention study on eating disorder–related outcomes
Assessments included: WCS, SEED, EDE-Q, BSQ-SF, SATAQ-4, EDL, USS, BATSH-ED, ATSPPH, GHSQ, AHSQ, EURhisQoL-8, MOS-SS, UCLA Loneliness Scale, RSE, PHQ-4, SOCQ-ED
Data collection points: Screening; Monitoring; Pre-intervention; Post-intervention; Follow-up (3 months); Follow-up (6 months)
Additional questionnaires: Sociodemographics; Monitoring questionnaire; Empowerment; Satisfaction with Intervention Questionnaire; Chat Group Evaluation
Population focus: Young people and individuals with eating disorder symptoms
Field of research: Clinical psychology and eating disorder research
Referenced literature: 18 cited academic sources
Purpose: Documentation of instruments and timing of assessments used in the study protocol
Topics: Medicaid-HMK+ CHIP-HMK 6-Month