Provider Letter - Administrative Letter 19-11
Oklahoma Department of Human Services
Developmental Disabilities Services
Sequoyah Memorial Office Building
PO Box 25352
Oklahoma City, OK 73125-9907
PH: (405) 521-3571 Ÿ FX: (405) 522-3037 Ÿ www.okdhs.org
May 24, 2019
Provider Letter 19-11
Developmental Disabilities Services (DDS) appreciates the quality service you provide every day to our service recipients. At DDS we continually strive to simplify and streamline service delivery. We have made changes to the following DDS forms:
In-Home Supports Waiver - Certificate of Competency (06IS037E or DDS-37);
In-Home Supports Waiver - Family Member's Statement (06IS038E or DDS-38);
Health Status and Monthly Medication Review (06HM006E or DDS-6);
Referral Form for Examination and Treatment (06HM005E or DDS-5); and
Notice of Action (06MP004E or DDS-4);
The In-Home Supports Waiver - Certificate of Competency (06IS037E- DDS-37) and the In-Home Supports Waiver - Family Member's Statement (06IS038E-DDS38) have been combined into one form called the In-Home Support Waiver - Certificate of Competency and Family Member's Statement (061S037E).
- Page one of the revised In-Home Support Waiver - Certificate of Competency and Family Member's Statement is required when a service recipient, legal guardian or parent(s) of a minor service recipient requests to exempt a person chosen to provide HTS or Self-Directed Services HTS services from DDS training per OAC 340:100-3-38.5.
- Page two is signed by a parent or family member closest to the service recipient when page one of the Certificate of Competency is signed by an adult service recipient without a legal guardian. Training requirements cannot be waived without written agreement by a parent or family member.
DDS has eliminated the Health Status and Monthly Medication Review form (
- DDS 6) as it is time-consuming for providers and case managers and provides little benefit for the service recipient. Any abnormal symptoms or concerns can now be documented on the revised Referral Form for Examination and Treatment (
- DDS 5).
The Notice of Action form has been renamed the Notice of Action of Reduction/Denial/Closure of Services. A notice will only be mailed if services are reduced/ denied or if the DDS case will be closed. It will not be sent to when services are approved as requested.
Thank you for your continuing commitment to providing quality services to the service recipients we serve.
Beth Scrutchins, DDS Director
Department of Human Services