F-01208 |
IRIS Consultant Agency Quality Management Plan |
DMS |
English |
02/2017 |
Word |
No |
F-01208A |
IRIS Consultant Agency Quality Management Plan Tracking |
DMS |
English |
02/2017 |
Excel |
No |
F-01556C |
IRIS Cost Share Repayment Plan Letter |
DMS |
English |
05/2023 |
Word |
No |
F-01240 |
IRIS Critical Incident Reconciliation |
DMS |
English |
02/2017 |
Word |
No |
F-01319B |
IRIS Denial of Enrollment Request |
DMS |
English |
02/2017 |
Word |
No |
F-01442 |
IRIS Disenrollment Letter - Death |
DMS |
English |
05/2023 |
Word |
No |
F-03117 |
IRIS Electronic Visit Verification (EVV) System or Power Outage Exception Notification |
DMS |
English |
12/2022 |
Word |
No |
F-02914 |
IRIS Electronic Visit Verification Risk Agreement |
DMS |
English |
06/2022 |
PDF |
No |
F-02046 |
IRIS Financial Projections Template |
DMS |
English |
06/2021 |
Excel |
No |
F-02047 |
IRIS Financial Reporting |
DMS |
English |
04/2023 |
Excel |
No |
F-01207A |
IRIS Fiscal / Employer Agent Quality Management Plan Tracking |
DMS |
English |
02/2017 |
Excel |
No |
F-01207 |
IRIS Fiscal Employer Agent Quality Management Plan |
DMS |
English |
02/2017 |
Word |
No |
F-01319 |
IRIS Involuntary Disenrollment Request |
DMS |
English |
02/2017 |
Word |
No |
F-01556E |
IRIS Medicaid Cost Share Letter - Fiscal Employer Agent Transfer |
DMS |
English |
05/2023 |
Word |
No |
F-02488 |
IRIS Monthly Rate of Service (MROS) Discrepancy Resolution |
DMS |
English |
02/2022 |
Excel |
No |
F-02470 |
IRIS Noncompliance Statement and Corrective Action Plan |
DMS |
English |
03/2019 |
Word |
No |
F-01206 |
IRIS One-Time Expense Request |
DMS |
English |
02/2017 |
Word |
No |
F-01206B |
IRIS One-Time Expense Request - Ramp |
DMS |
English |
02/2017 |
Word |
No |
F-01206A |
IRIS One-Time Expense Vendor Bid Comparison |
DMS |
English |
02/2017 |
Word |
No |
F-01947 |
IRIS Participant Education Manual: Acknowledgement |
DMS |
English |
11/2018 |
Word |
No |
F-01947 |
IRIS Participant Education Manual: Acknowledgement, French |
DMS |
French |
11/2018 |
Word |
No |
F-01947 |
IRIS Participant Education Manual: Acknowledgement, Large Print |
DMS |
English |
11/2018 |
Word |
No |
F-01205B |
IRIS Participant Education: Budget Amendments |
DMS |
English |
03/2017 |
Word |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Arabic |
DMS |
Arabic |
03/2017 |
PDF |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Burmese |
DMS |
English |
03/2017 |
Word |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, French |
DMS |
French |
03/2017 |
Word |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Hmong |
DMS |
Hmong |
03/2017 |
Word |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Karen |
DMS |
Karen |
03/2017 |
PDF |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Korean |
DMS |
Korean |
03/2017 |
PDF |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Russian |
DMS |
Russian |
03/2017 |
Word |
No |
F-01205B |
IRIS Participant Education: Budget Amendments, Spanish |
DMS |
Spanish |
03/2017 |
Word |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests |
DMS |
English |
11/2019 |
Word |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests, Arabic |
DMS |
Arabic |
11/2019 |
PDF |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests, Hmong |
DMS |
Hmong |
11/2019 |
Word |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests, Karen |
DMS |
Karen |
11/2019 |
PDF |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests, Korean |
DMS |
Korean |
11/2019 |
PDF |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests, Russian |
DMS |
Russian |
11/2019 |
Word |
No |
F-01205C |
IRIS Participant Education: One-Time Expense Requests, Spanish |
DMS |
Spanish |
11/2019 |
Word |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care |
DMS |
English |
02/2017 |
Word |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care, Arabic |
DMS |
Arabic |
02/2017 |
PDF |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care, Hmong |
DMS |
Hmong |
02/2017 |
Word |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care, Karen |
DMS |
Karen |
02/2017 |
PDF |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care, Korean |
DMS |
Korean |
02/2017 |
PDF |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care, Russian |
DMS |
Russian |
02/2017 |
Word |
No |
F-01205J |
IRIS Participant Education: Self-Directed Personal Care, Spanish |
DMS |
Spanish |
02/2017 |
Word |
No |
F-01201C |
IRIS Participant Employer / Participant - Hired Worker Agreement |
DMS |
English |
02/2017 |
Word |
No |
F-01201C |
IRIS Participant Employer / Participant - Hired Worker Agreement, Hmong |
DMS |
Hmong |
02/2017 |
Word |
No |
F-01201C |
IRIS Participant Employer / Participant - Hired Worker Agreement, Russian |
DMS |
Russian |
02/2017 |
Word |
No |
F-01201C |
IRIS Participant Employer / Participant - Hired Worker Agreement, Spanish |
DMS |
Spanish |
02/2017 |
Word |
No |
F-01201A |
IRIS Participant-Hired Worker Relationship Identification |
DMS |
English |
03/2023 |
Word |
No |