Support Coordination Manual

You may browse the entire Division of Developmental Disabilities Support (aka Service) Coordinator Manual by scrolling down the page. Clicking on the topics will take you down the page to each section.

A. Philosophy and Values

• Missouri Support Coordination Core Competencies
• Missouri Quality Outcomes
• Supporting People to Achieve Self-Determination
• People First Language: Disability Etiquette
• The Life Cycle
• Cultural Diversity
• Community Membership Updated 10-3-19

B. Learning the Basics

• Support Coordination (Overview, Personal Safety) Updated 10-2-19
• Regional Office Structure
• DD Service Flow Chart Updated 8-15
• Confidentiality Updated 10-2-19
  • Overview
  • Guiding Principles
  • Policies
  • Procedures
• Individual Support Plan Monitoring and Review Revised 8/19
  • Appendix A Individual Support Plan Monitoring and Review Guidelines Revised 8/19
  • Appendix B Individual Support Plan Monitoring and Review Monthly/Quarterly Summary Revised 8/19
• Documentation Updated 3-24-11
  • Overview, Documentation
  • What to Look For
  • Service Coordinator Documentation
• Acronyms
• Death: Notification & Timelines Updated 4-11
  • Procedures when death occurs
  • Mortality Review Process
• Targeted Case Management Technical Assistance Manual (Revised 4-9-2019)
  • TCM Billing Fact Sheet
  • Targeted Case Management Power Point Presentation
• CIMOR
• Know Your Rights and Responsibilities
• Governance

C. Admission / Discharge

• Intake/Assessment Flow Chart 10-4-16
• Administrative Transfer Updated 10/4/19
  • Support Coordination Transfer Contact Brochure
• Discharge Updated 11-21-17
  • Circumstances
  • Procedures

D. Self Directed Supports

• Introduction to Self-Directed Supports (updated 3/22/21)
• Self-Directed Supports 

E. Support Planning Process

• Overview Updated 12/9/16
  • ISP Guide
  • State ISP Template
• Employment Services Overview Updated 10-19
  • Employment Support Coordination for HCBS Technical Assistance and Guidance
• Positive Behavior Supports
• Team Work Updated 4-1-11
• Risk Assessment Tools
  • Risk Assessment-Osteoporosis
  • Risk Assessment-Skin Breakdowns
  • Risk Assessment-Falls
  • Risk Assessment-Physical and Nutritional Management
  • Risk Assessment-Wheelchair Safety Guidelines and Maintenance Checklist

F. Funding Basics

• Overview Updated 4-1-11
• Standard Means Test Updated 4-1-11
• Contracted Service Providers Updated 4-1-11
• Purchase of Service (POS) Updated 4-1-11
• Non Waiver Service Definitions Updated 6-1-13
• Choices for Families Updated 4-1-11
• Shared Unit Agreement Updated 4-1-11
• Utilization Review Updated 6-30-17
  • Review/Approval Levels
  • Plan Development Timeline
  • Planning and Utilization Resource Tool
    • Utilization Review Tool video
    • Utilization Review Memo (April 30, 2024)
    • Services Requiring Personal Outcomes and Implementation Strategies
    • Utilization Review Request for Waiver Nursing Services
  • Utilization Review Training May 15, 2024 
    • Recordings
      • Utilization Review Part 1 - Memo Effective & Clarification
      • Utilization Review Part 2 - Purpose and Overview
      • Utilization Review Part 3 - Critical Service Situation Guidance
      • Utilization Review Part 4- Exploring Resources Outside of the Division
    • Presentations
      • Utilization Review Part 1 - Memo Effective & Clarification
      • Utilization Review Part 2 - Purpose and Overview
      • Utilization Review Part 3 - Critical Service Situation Guidance
      • Utilization Review Part 4 - Exploring Resources outside of the Division
    • Question and Answer Document
• Missouri Values Test
• Autism Projects Updated 5-22-2013
  • Support Coordinator Roles and Responsibilities Updated 4-30-2018

G. Partners/Funding Resources

• Overview
  • Department of Mental Health
  • SB 40 County Board Information
  • Department of Elementary and Secondary Education (DESE)
  • First Steps
  • Missouri School for the Blind/Deaf
  • State Schools for the Severely Disabled
  • Extended Employment Sheltered Workshops
  • Division of Career Education
  • Division of Vocational Rehabilitation
  • Department of Health and Senior Services
  • Division of Senior and Disability Services
  • Home and Community Services
  • Division of Community and Public Health
  • Department of Social Services
  • Children's Division
  • Family Support Division
  • MoHealthNet
  • Division of Youth Services
  • Social Security Benefits
  • Benefit Specialist
  • DMH Interdivisional Agreements

H. Medicaid and Waivers

• Waiver Exception Request/Approval Form Updated 7-1-23
• MOCDD Waiver Updated 1-2-19
• MOCDD Waiver Eligibility Requirements
• MOCDD Waiver Screening Request Form
• MOCDD Benefit Coordination Committee Checklist
• Waiver Fact Sheet
• Spend Down Flyer
  • Spend Down MHD Frequently Asked Questions 
  • Spend Down DMH Frequently Asked Questions
• Directive 4.061-Level of Care
  • Instructions
  • CIMOR Level of Care Training
  • LOC Webinar recording, presentation and technical assistance and guidance document
• Medicaid Waiver, Provider and Services Choice Statement Revised 6-2024
• Medicaid Waiver, Provider and Services Choice Statement Directions
• DMH Appeals Brochure
• Sample Letters:
  • Waiver Not Eligible Notice
  • Waiver Increase or Denial of Services
  • Partial Denial of Services
  • Waiver Termination Letter
• MC +
• MO HealthNet Exceptions Process and Forms
  • Exceptions Process Frequently Asked Questions
• Durable Medical Equipment (DME)
• Specialized Medical Equipment & Supplies
• State Plan Services
  • Power Point from Training
  • Link to 3-6-2020 Webinar
  • MO HealthNet Exception Request Form
• MO HealthNet Non-Emergency Transportation
  • Non-Emergency Medical Transportation Flyer
  • Questions & Answers
• DHSS and DMH Coordination Process 6/2024
• Medicaid Waiver Manual Link
• MO HealthNet Participant Handbook
• Medicaid Brochure
• References and Links
• TCM Benefits Matrix

I. Community Living

• Community Living/Community Placement Overview
• Community Transition
• Referral and Transition
  • Consumer Referral Profile 4-21-17
• Shared Living Manual
• Individualized Supported Living Services and Budget Manual
  • ISL Budget Form
  • Staffing Pattern (3 Person)
  • Staffing Pattern (4 Person)
• Habilitation Centers
• Housing
• Missouri Inclusive Housing Development Corporation

J. Quality Enhancement

• Quality Enhancement Overview Updated 8-2023
  • MO Health Risk Screening (HRS) Process
  • Death Notification/Mortality Review
  • Community RN Program
  • Event Report Processing
  • Support Monitoring
  • Complaints Response Process
  • Service Plan Guidelines, Training and Reviews
  • Enrollment of New Providers
  • Fiscal Review
  • Licensing & Certification and Accreditation
  • Computer Databases Associated with Quality Enhancement
• MO Health Risk Screening (HRS) Process
• Targeted Case Management Monitoring
• Death Data Verification Form
• Mortality Review Flow Chart

K. Abuse and Neglect

• Abuse and Neglect: Introduction/Definitions Updated 12/9/16
• Investigation - Disposition Process

L. Legal and Advocacy

• Overview Updated 5-3-11
• Rules and Regulations Updated 5-3-11
• American with Disabilities Act Updated 5-3-11
• Individuals with Disabilities Education Act Updated 5-3-11
• Family Educational Rights and Privacy Act Updated 5-3-11
• Section 504 of the Rehabilitation Act of 1973 Updated 5-3-11
• Skilled Nursing Facility Process Updated 5-25-17
• Olmstead Decision Updated 5-3-11
• Leake Consent Decree Updated 5-3-11
• System of Care for Children and Youth 9-10-09
  • Responding to Court Ordered Evaluations 9-10-09
• Family Support Teams 9-10-09
• Interdepartmental and CASSP Teams 5-20-11
• Voluntary Placement Agreement 9-10-09
• Forensic Services 12-17-10
• People First 12-17-10
• Missouri Protection and Advocacy 12-17-10

M. Forms

• Required State Forms
  • Administrative Transfer- Information Form
  • Administrative Transfer- TCM Referral Packet Form
  • Behavior Resource Team Referral Form
  • CD/DD Interdivisional Agreement
  • Checklist for Residential Community Living Moves
  • Choices for Families - Family Friend Documentation
  • Choices for Families - Provider Information Form
  • Consumer Referral Profile
  • Deaf Services Communication Profile
  • Event Report Form
  • Event Report Form (Fillable)
  • Event Report Form - Addendum
  • Event Report Form - Addendum (Fillable)
  • Event Report Form - Med Error Form
  • Event Report Form - Med Error Form (Fillable)
  • Housemate Compatibility Tool
  • Individual Rights of Persons Receiving Services
  • Medicaid Waiver, Provider and Services Choice Statement
  • Medicaid Waiver, Provider and Services Choice Statement Directions
  • MOCABI
  • MOCDD Benefit Coordination Committee Checklist
  • Partnership for Hope Prioritization of Need (PON)
  • Request for Expenditure (Fillable) Revised 7-2022
  • SIS Letter 8-14-2013
  • Transition Checklist
  • Vineland (not linked due to copyright)
  • Waitlist Removal Form
  • Waiver Exception Request/Approval Form 3-16-22
  • Waiver Slot Movement Change Form Revised 5-7-2014
  • Waiver Termination Letter
• Optional Forms Formats
  • Death Data Verification Form
  • Housing Eligibility Screening Tool
  • Housemate Survey
  • Housing Referral Form 7-29-2013
  • Quarterly Review
  • Utilization Review Recommendation Form (electronic version) Cannot Be Edited/Changed
  • Waiver Tracking Form