Documents

File Name	File	Category	Date	File Format
ASD Rate Table SFY2020	ASD Rate Table July 2019.pdf		15 Apr 2019	PDF
CFC 804 Form Process 2019	CFC.804.Form_.Process.2019.pdf		04 Apr 2019	PDF
CFC Independent Living Assessment (ILA) - FULL	Independen_Living_Assessment - FULL.pdf	Form	02 Apr 2019	PDF
CFC 804 Forms Instructions	VT_CFC_804_Forms_Instructions_3.2019 (003).pdf		01 Apr 2019	PDF
CFC 804A Termination of Services Form	CFC_804A_Termination_of_Services.pdf	Form	01 Apr 2019	PDF
CFC 804 Admission to Services Form	CFC_804_Admission to Services Form.pdf	Report	01 Apr 2019	PDF
CFC 804C Short-Term Medicaid Only Rehab Form	CFC_804C_Short-Term Medicaid Only Rehab Form (2).pdf	Form	01 Apr 2019	PDF
CFC 804D Dual Rehab Form	CFC 804D Dual Rehab Form_.pdf		01 Apr 2019	PDF
CFC 902 Moderate Needs Financial Eligibility Worksheet	CFC_902_Moderate_Needs_Financial_Eligibility_Worksheet.pdf	Form	22 Mar 2019	PDF
Choices for Care 7-day out of state policy	Choices for Care 7-day out of state policy_memo.pdf		19 Mar 2019	PDF

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