№ lp_2_3_33068
File format: docx
Character count: 7308
File size: 52 KB
Official state Medicaid incident reporting form documenting critical events, allegations, actions taken, notifications, and outcomes concerning participants receiving Community Recovery Services in Wisconsin.
Issuing Authority:
Department of Health Services, State of Wisconsin, Division of Care and Treatment Services
Form Number:
F-00390
Revision Date:
08/2016
Program:
Community Recovery Services (CRS) Medicaid Benefit
Related Document:
F-00390I Instructions
Jurisdiction:
State of Wisconsin
Applicable Population:
Children and adults receiving Community Recovery Services Medicaid benefit
Submission Method:
Mail or Fax to designated CRS Contact
Reporting Timeline:
Within 24 hours for Critical Incidents; three business days for agency notification to state contact
Type of Document:
Official incident reporting form
Administering Agency:
Wisconsin Department of Health Services
Associated Agencies:
CRS County/Tribe Agency; State Medicaid Agency (SMA)
Regulatory Context:
CMS-approved CRS Benefit requirements and conditions
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Country:
United States
State:
Wisconsin
Issuing Authority:
Department of Health Services, Division of Care and Treatment Services
Legal Basis:
42 CFR 431.107; 42 CFR Part 455 Subpart B; 42 CFR § 447.10(e); DHS 106.02 Wis. Administrative Code
Program:
Wisconsin Medicaid Community Recovery Services (CRS) Benefit
Form Number:
F-00312A
Date of Form:
08/2016
Type of Document:
Provider Agreement
Subject:
Terms of participation, confidentiality, fraud prevention, disclosure requirements, payment reassignment
Applicable To:
Individual or Non-Specified Community Recovery Services Providers
Record Retention Requirement:
Seven (7) years
Signatories:
Provider; Local CRS Benefit Agency Representative (Witness)
Year:
2020
Region / City:
Lao PDR
Sector:
MSME, Finance, Environmental & Social Management
Document Type:
Working Draft
Institution:
Department of Small and Medium Enterprise Promotion (DOSMEP)
Author:
N/A
Target Audience:
Micro, Small, and Medium Enterprises (MSMEs), financial institutions, and stakeholders in Lao PDR
Period of Validity:
Ongoing project, emergency and recovery phase
Approval Date:
January 4th, 2020
Date of Amendments:
N/A
Country:
United States
Issuing agency:
Department of Commerce, National Oceanic and Atmospheric Administration
Legal basis:
Deep Seabed Hard Mineral Resources Act (30 U.S.C. §§ 1401–1473)
Regulatory framework:
15 CFR Part 970; 15 CFR Part 971
Document type:
Application instructions
Subject matter:
Deep seabed mineral exploration and commercial recovery licensing
Jurisdiction:
Areas beyond national jurisdiction
Application formats:
Sequential license and permit application; consolidated license and permit application
Intended users:
Applicants for DSHMRA licenses and permits
Contact information:
[email protected]
Administrative context:
Paperwork Reduction Act (44 U.S.C. §§ 3501–3521)
Year:
2016
Region / City:
Sacramento, CA
Subject:
Laboratory Services for CIA Sites Investigation Program
Document Type:
Invitation for Bids (IFB)
Organization:
Department of Resources Recycling and Recovery (CalRecycle)
Author:
Melissa Mojonnier
Target Audience:
Bidders for laboratory services contracts
Contract Period:
24 months (starting December 2016)
Approval Date:
October 21, 2016
Amendment Date:
Not specified
Project title:
Stabilization to Recovery Transition (START) in Libya
Project number:
00119794
Implementing partner:
UNDP
Start date:
March 2020
End date:
February 2021
Geographic scope:
West, East and South Libya
Thematic areas:
stabilization, early recovery, resilience, peacebuilding, humanitarian-development-peace nexus
Target groups:
local governments, women, youth, migrants, internally displaced persons, host communities
Related programmes:
Strengthening Local Capacities for Resilience and Recovery (SLCRR); Stabilization Facility for Libya (SFL)
Contributing framework:
UNDAF
Total budget:
USD 2,727,272
Donor:
Government of Japan
Gender marker:
2
Type of document:
programme and project summary
Year:
2023
Region / City:
United Kingdom
Topic:
Job Application
Document Type:
Application Form
Organization:
Recovery Cymru
Author:
Recovery Cymru
Target Audience:
Job Applicants
Effective Period:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
Not specified
Region / City:
Aberdeen
Theme:
Social Care, Addiction Recovery, Homelessness Prevention
Document Type:
Job Description
Organization / Institution:
Bethany Christian Trust
Author:
Not specified
Target Audience:
Job applicants
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2026
Region:
Stark County, Ohio, USA
Topic:
Mental Health and Substance Use Services
Document Type:
Guidance Document / Request for Proposals
Organization:
Stark County Mental Health & Addiction Recovery (StarkMHAR)
Legal Authority:
Ohio Revised Code, Section 340
Target Population:
Adults with Serious Mental Illness (SMI), Children/Adolescents with Serious Emotional Disturbance (SED), individuals with Severe Substance Use Disorders
Included Services:
Early Childhood Mental Health, School-Based Services, Housing Services, Crisis Stabilization, Integrated Care, Criminal Justice Collaborations, Recovery Support, Peer Support
Funding Considerations:
Flex Funds, Hardship Funds, Interpretive Fees
Assessment:
Outcomes Management, Evidence-Based Practices
Approval:
Fiscal Year 2026
Year:
2026
Region / City:
Texas
Topic:
Comparative Medicine Program, cost recovery
Document Type:
Program Update
Institution:
Texas A&M University
Author:
Dr. Robert Rose, Dr. Jonathon Bova
Target Audience:
Researchers, Faculty Investigators
Effective Period:
FY26 and beyond
Approval Date:
Not specified
Date of Changes:
FY26
Contextual Description:
Program update detailing changes to per diem rates and cost recovery initiatives at the Comparative Medicine Program at Texas A&M University.
Year:
2026
Region / City:
Not specified
Topic:
Energy efficiency, Heat recovery, Compressors
Document type:
Technical article
Author:
Not specified
Target audience:
Engineers, Technicians, Industry professionals
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2023
Region:
Chilterns, England, United Kingdom
Subject:
Nature conservation and habitat restoration
Document type:
Strategic plan / guidance
Organization:
Natural England
Target audience:
Land managers, conservation organizations, local authorities, local communities
Key habitats:
Woodlands, chalk streams, wetlands, ponds, farmland
Geographical significance:
National Landscape designation
Objectives:
Nature recovery, species protection, habitat connectivity, monitoring and evaluation
Legislation framework:
Protected Landscape Targets and Outcomes Framework (PLTOF)
Note:
Year
Topic:
Disaster Recovery, Business Continuity
Document Type:
After Action Report (AAR)
Year:
2012
Note:
Region / City
Topic:
High Availability, Disaster Recovery
Document Type:
Technical Article
Author:
Joseph Sack, Sanjay Mishra
Target Audience:
Operational SQL Server database administrators, technology architects, system administrators
Copyright:
© 2012 Microsoft. All rights reserved.
Note:
Year
Topic:
Household hazardous waste management
Document type:
Resource guide
Organization / institution:
US Environmental Protection Agency, Minnesota Pollution Control Agency
Target audience:
HHW Program staff, county officials, hazardous waste collectors
Year:
20
Region / City:
Victoria
Subject:
Owners Corporation Fee Recovery
Document Type:
Legal document
Authority / Organization:
Victorian Civil and Administrative Tribunal (VCAT)
Author:
Applicant / Respondent (not specified)
Target Audience:
Parties involved in fee recovery
Period of validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified