Policy and Manual Management System (PAMMS)
Georgia Department of Human Services

Division of Aging Services

  • Access to Services
    • 5200 Access to Aging and Disability Services
    • MAN 5200 Access to Services Manual
      • 1000 Access to Services
        • 1010 Overview of Access to Services
      • 2000 Elderly Legal Assistance Program (ELAP)
        • 2010 Elderly Legal Assistance Program Overview
        • 2020 Georgia Elderly Legal Assistance Program Standards
        • 2030 Title III-B Legal Services Quarterly Report Narrative
        • 2040 ELAP Brochure
        • 2050 ELAP Monitoring Guide for AAAs
      • 3000 Georgia State Health Insurance Assistance (SHIP) Program
        • 3010 Georgia SHIP Overview
        • 3020 Georgia SHIP Guidelines and Standards
        • 3030 GeorgiaCares Brochure
        • 3060 Georgia SHIP Writing Toolkit
      • 5000 Aging and Disability Resource Connection (ADRC)
        • 5021 Purpose and Goals
        • 5022 Program Characteristics
        • 5023 System Structure
        • 5024 Primary Duties
        • 5025 Service Availability and Access
        • 5026 Crisis Intervention and Emergency Services
        • 5027 Staffing
        • 5028 Staff Training and Certification
        • 5029 Protection and Disclosure of Information
        • 5030 Technology
        • 5031 Standards of Promptness
        • 5032 Accountability and Quality Improvement
        • 5033 Collaboration with Community Partners
        • 5034 Outreach and Marketing
        • 5035 Records Management
        • 5036 MDSQ Options Counseling
        • 5037 Community Options Counseling
        • 5038 Waiting List Management and Criteria for Admission to Services
        • 5060 Appendices
          • 5060-A Triage Tool
          • 5060-B Training Requirements
          • 5060-C Operational Model
          • 5060-D Professional Documentation
          • 5060-E Accepted Documentation Abbreviations
          • 5060-F Options Counseling Action Plan
          • 5060-G Questions to Foster Rapport
          • 5060-H MFP Facilitator Process Flow
          • 5060-I Secret Shopper Toolkit
          • 5060-J Waiver Booklet Order Form
          • 5060-K Nursing Home Transition Screening Form
        • 5070 Forms
          • Options Counseling Action Plan
          • ADRC Sample Collaboration Agreement
          • ADRC Sample Participation Statement
          • HCBS Notification Form
          • HCBS Notification Form (Spanish)
          • HCBS Waiver Booklet Order Form
          • Understanding Georgia’s Waiting List Policy Letter
          • Assessment Triage Form
        • 5080 ADRC Monitoring Guide
      • 6000 Community Transitions
        • 6100 Money Follows the Person
          • 6111 Overview
          • 6113 Monitoring
          • 6121 Communication
          • 6122 Area to Area Transitions
          • 6123 Transition Coordinators Qualifications and Training
          • 6131 Money Follows the Person and Chronic Disease Self-Management Education
          • 6132 Home Care Ombudsman
          • 6134 Transition Services Vendor Management
          • 6141 Harmony for MFP
          • 6142 Money Follows the Person Vendor Import File
          • 6143 Documenting a MFP Sentinel Event Report
          • 6144 Protection and Disclosure of Information
          • 6146 Money Follows the Person Required Contacts
          • 6147 Standards of Promptness
          • 6151 MFP Pre-Transition Workflow Management
          • 6152 Administrative Termination
          • 6161 DCA 811 Procedure
          • 6162 DCA RAD Procedure
        • 6200 Nursing Home Transitions
          • 6210 NHT Eligibility Criteria
          • 6211 Area to Area Transitions and Transfers
          • 6212 NHT Mandatory Documentation
          • 6213 Harmony for NHT
          • 6214 NHT Required Contacts
          • 6216 Documenting a NHT Sentinel Event Report
          • 6217 NHT Taxonomy of Services
          • 6218 New Vendors Management
          • 6219 NHT Expenditure Tracking Process
          • 6220 TC Qualifications and Training
          • 6221 Terminations
        • 6400 Forms for Community and Nursing Home Transitions
          • 6401 Legal Status Affidavit Form
          • 6402 Triage Risk Assessment Form
          • 6403 2013 Secure and Verifiable Document Listing
          • 6404 MFP File Review Checklist
          • 6405 Referral Form
          • 6406 Services Table
          • 6407 Vendor Payment Request
          • 6408 Informed Consent
          • 6409 Release of Health Information
          • 6410 Transition Screening Form
          • 6411 Individualized Transition Plan
          • 6412 Discharge Day Checklist
          • 6413 Quote Form for CT Services
          • 6414 Authorization for Transition Services
          • 6415 Complaint Form
          • 6416 Right to Appeal CT Services Decision Letter
          • 6417 CT Letter of Denial, Suspension or Termination
      • 7000 Dementia Programs
        • 7000 Dementia Programs Overview
        • 7100 Dementia Care Specialist Program Overview
        • 7101 Dementia Care Specialist Basic Requirements
        • 7102 Dementia Care Specialist Program Three Domains of Concentration
        • 7103 Responsibilities of the Dementia Care Specialist and the Area Agency on Aging
        • 7104 Requirements and Training for Dementia Care Specialists
      • Appendix A Summary of Cover Letters
  • Administration
    • 5600 Division of Aging Services Administration
    • MAN 5600 Administrative Manual
      • 1000 General DAS Administration
        • 1001 Overview of the Division of Aging Services
        • 1002 Overview of the Aging Services Network
        • 1010 Request for Assistance from DHS Associate General Counsel (AGC)
        • 1011 Data Breach Reporting
        • 1012 Records Requests from Law Enforcement
        • 1020 Gifts in Support of Aging Services Clients
        • 1050 DAS Process for Developing or Changing Policy, Procedures, Program Standards
        • 1051 Taxonomy of Services Process
        • 1060 Technology and Data Management
        • 1061 Record Retention
        • 1062 Procedures for Processing Mail
        • 1065 Missing Smartphone Procedures
        • 1070 State Plan Development
        • 1080 Strategic Planning
      • 1090 Reports
        • 1090 Division Reports, Overview
        • 1091 Older Americans Act Performance System (OAAPS)
        • 1092 Annual Report; Just the Facts
        • 1093 National Adult Maltreatment Reporting System (NAMRS)
        • 1094 Tableau Reporting
      • 2000 Fund Sources & Budget Types
        • 2001 Fund Sources
        • 2002 Intra State Funding Formula
        • 2003 Allocation Methodologies
        • 2005 Matching Federal Funds
        • 2006 Maintenance of Effort
        • 2007 Program Income
        • 2009 Allowable Services by Fund Source
        • 2010 Grant Development Process
        • 2011 Grant Submittal Instructions
        • 2012 Grant Management
        • 2025 Fee for Service System Overview
        • 2026 Cost Share
        • 2027 Voluntary Contributions
        • 2028 Private Pay Services
      • 2050 Basic Considerations for Recipients of Services
        • 2051 Eligibility
        • 2052 Citizenship Criteria for Aging Programs and Services
        • 2053 Confidentiality
        • 2054 Health Insurance Portability and Accountability Act of 1996 (HIPAA)
        • 2055 Limited English Proficiency & Sensory Impairment
      • 3000 Area Agency on Aging (AAA) Administration
        • 3001 Designation of Planning and Service Areas and Area Agencies on Aging Overview
        • 3002 Designation of Planning and Service Areas
        • 3003 Designation of Area Agencies on Aging
        • 3004 Transition Planning
        • 3005 Withdrawal of Designation of Area Agencies on Aging
        • 3010 Area Agency on Aging Administration and Operations Overview
        • 3011 Area Agency on Aging Structure
        • 3012 Area Agency on Aging Records
        • 3013 Area Agency on Aging Accountability
        • 3014 Area Agency on Aging Contract Management Requirements
        • 3015 Area Agency on Aging Monitoring and Evaluation of Service Providers
        • 3016 Targeting Service Delivery
        • 3017 Emergency Planning and Management
        • 3018 Conflicts of Interest
        • 3019 Provision of Services by Area Agencies on Aging
        • 3020 Administrative Appeals
        • 3021 Area Plan
        • 3022 Contract Amendments, Budget Revision, and Reporting Requirements
        • 3023 Grants and Contracts
        • 3024 Civil Rights
        • 3025 Financial Management
        • 3026 Allowable Costs
        • 3027 Audits of Area Agencies on Aging and Service Provider Organizations
        • 3028 Risk Management
        • 3029 Area Agency on Aging Advisory Councils
        • 3030 Uniform Cost Methodology
        • 3035 Public Input Requirements for AAAs
        • 3036 Criminal History Investigations
        • 3050 Compliance with Contractor Responsibilities and Sanctions
        • 3051 Incentives and Rewards for AAA Performance
      • 3075 Compliance
        • 3076 Delivery of Client Services Directly Prohibited
        • 3077 Request for Waiver from Program Guidelines and Requirements
      • 4000 Workforce Development
        • 4002 Recruitment and Selection
        • 4003 Onboard Procedures
        • 4004 Mandatory Training
        • 4005 Offboard Procedures
        • 4006 Management Training Procedures
        • 4007 New Worker Training Procedures
        • 4010 Employee Satisfaction Survey
        • 4020 Volunteer Management Procedures
        • 4022 DAS Internship Program
        • 4030 DAS Travel
        • 4035 DAS Teleworking Policy and Procedures
        • 4040 Workforce Safety
        • 4042 Area Agencies on Aging (AAAs) Workforce Safety
        • 4043 Worker Serious Incident Review Team (SIRT)
      • 5000 Purchasing & Procurement
        • 5006 Supply and Small Equipment Purchases
        • 5007 Subscriptions and Dues
        • 5008 Credit Card Purchases
        • 5009 Approval and Purchase of Promotional Items
        • 5010 Processing State Assistant Attorney General Invoices
      • 6000 Program Integrity
        • 6001 Program Integrity Overview
        • 6002 Measurement and Analysis Plans (MAPS
      • 6050 Quality Improvement
        • 6051 Continuous Quality Improvement Plan
        • 6055 Teams and Chartered Teams
      • 7000 Dementia Programs
        • 7002 Georgia Alzheimer’s and Related Dementias (GARD) State Plan
      • 8000 Communications
        • 8002 Media Relations Procedures Guide
        • 8003 Guidelines for Written Correspondence and Suspended Items
        • 8004 Constituent Services
        • 8005 Marketing and Social Media Procedures Guide
        • 8006 Electronic Communication, Division of Aging Services
        • 8007 Government Relations and Legislative Affairs
        • 8008 Shared Drive
      • 9000 Forensic Special Initiatives Unit (FSIU)
        • 9001 Overview of the Forensic Special Initiatives Unit (FSIU)
        • 9002 Certified At-Risk Adult Crime Tactics Specialists (CACTS) Certification
        • 9003 Community Education/Training
        • 9004 FSIU/CADE Case Consultation/Review and Technical Assistance Procedures
        • 9005 Collaboration with Other Agencies
        • 9006 Serious Incident Review Team (SIRT) Process
        • 9007 At-Risk Adult Multi-Departmental Team
        • 9008 Financial Exploitation Work Group
        • 9009 Strategic Planning
        • 9015 Forensic Background Checks
      • 9050 At-Risk Adult Relocation Team (AART)
        • 9051 Overview of the At-Risk Adult Relocation Team (AART)
        • 9052 Relocation Roles
        • 9053 Relocation Tools
        • 9054 Collaboration with Other Agencies
      • 9075 Relocation Funds
        • 9075 Relocation Funds Overview
        • 9076 Temporary Emergency Respite Funds (TERF)
        • 9080 Emergency Relocation Funds (ERF)
        • 9081 ERF and DFCS Regional Accounting
        • 9082 Emergency Relocation Funds Fiscal Management
      • Appendix A Cover Letters
      • Appendix B AAA HCBS Consumer Surveying Toolkit Introduction
        • Attachments A
          • Attachment A: Instructions to Conduct the Surveys
        • Attachments B: Service Specific Surveys
          • Attachment B-1: Congregate Meals Services
          • Attachment B-2: Home Delivered Meals Services
          • Attachment B-3: Senior Center Services
          • Attachment B-4: Transportation Services Consumer Survey
          • Attachment B-5: Case Management Services
          • Attachment B-6: Homemaker Services
          • Attachment B-7: Personal Care Services
          • Attachment B-8: Caregiver Services
          • Attachment B-9: Adult Day Care Services
          • Attachment B-10: Respite Care Services
        • Attachments C
          • Sample Consumer Cover Letter and Sample Telephone Script
        • Attachments D
          • Attachment D: Defining and Selecting the Survey Sample
          • Calculating Sets
        • Attachments E: Excel Files for Compiling Survey Results and Response Rates
          • Congregate Meals Services
          • Home Delivered Meals Services
          • Senior Center Services
          • Transportation Services
          • Case Management Services
          • Homemaker Services
          • Personal Care Services
          • Caregiver Services
          • Adult Day Care Services
          • Respite Care Services
      • Appendix C Smartphone User Guide
      • Appendix D Forms and Templates
      • Appendix E Glossary of Terms, Abbreviations and Acronyms
      • Appendix F Taxonomy of Services
        • State Fiscal Year 2025
        • State Fiscal Year 2023 and 2024
      • Appendix G Uniform Cost Methodology Training Manual
      • Appendix H Data Systems Manuals
        • Chapter 100 Orientation
          • Computer Configuration Requirements
          • DDS Password Reset
          • User Access Request Procedures
          • User Re-Certification Procedure
          • Roles Directory
          • Requesting IOTIS Access via Wellsky
        • Chapter 200 User Guides
          • ADRC Program Training Guide
          • APS Central Intake
          • APS Investigations Training Guide
          • APS Ongoing Training Guide
          • APS TERF Training Guide
          • Caregiver Services & Kinship Care Services
          • Caregiver Services & Kinship Care Guide
          • Case Management (HCBS)
          • CCSP Care Coordination
          • CCSP Provider
          • Cross-Programs Workflow for Individual Services
          • Dementia Care Specialist Role
          • ELAP Training Guide
          • Emergency Services
          • Evidence Based Programs
          • GeorgiaCares Guide
          • HCBS Training Guide
          • Mobile Assessment Companion Guide (CCSP)
          • MFP/NHT User Guide
          • Senior Centers
        • Chapter 300 User References
          • Adult Protective Services Assessment Matrix
          • Changing Service Unit Costs
          • ELAP Instructions on Running Reports and Attaching Narrative
          • GeorgiaCares SHIP and SMP Data Entry Manual
        • Chapter 400 Reports
          • DAS Data System Reports List
          • HAR Reports Catalog
          • DAS Taxonomy of Services and the DDS-Area Plan Program Funding Definitions Report Instructions
        • Chapter 500 Process
          • UAT: Reporting Timely UAT Feedback Process
      • Appendix I Temporary Operating Procedures (TOP)
        • MT 2021-05 Jan 8, 2021 (update)
        • MT 2021-01 Aug 11, 2020 (update)
        • MT 2021-01 Jun 26, 2020 (update)
        • MT 2021-01 May 15, 2020 (update)
        • MT 2020-06 Apr 30, 2020 (update)
        • MT 2020-05 Apr 16, 2020 (update)
        • MT 2021-01 Apr 9, 2020 (update)
        • MT 2021-03 Apr 3, 2020 (update)
        • MT 2021-03 Mar 25, 2020 (update)
        • MT 2021-05 Mar 20, 2020
      • Appendix J Area Plan Format
        • SFY 25
          • SFY 2025-2028 Area Plan Template
          • SFY 2025-2028 Area Plan Format Instructions
        • SFY 19
          • SFY 2019 Area Plan Format Instructions
          • Attachment 3 – SFY 2019 Area Plan Checklist
          • Attachment 4 – C1a, C1b, C1c Advance Request
          • Attachment 5 – 2019 Match Analysis (EXCEL)
          • Attachment 6 – Budget Submission Certification
          • Attachment 7 – Goal 2; Underserved Persons
          • Attachment 8 – Goal 4; Transportation
        • SFY 18
          • SFY 2018 Area Plan Template
          • SFY 2018 Area Plan Format Instructions
          • Attachment 3 – SFY 2018 Area Plan Checklist
          • Attachment 4 – C1s, C1b, C1c Advance Request
          • Attachment 5 – 2018 Match Analysis (EXCEL)
        • SFY 2017-2020
          • Attachment C-1-a Request for Advance Payment
          • SFY 2017-2020 Area Plan Template
          • SFY 2017-2020 Area Plan Format Instructions
          • SFY 2017 Match Analysis (EXCEL)
        • SFY 2012-2015
          • SFY 2012 Area Plan Template & Format Instructions
      • Appendix K DAS Sliding Scale for Cost Share – Non-Medicaid Services
        • 2025 (missing)
        • 2024
        • 2023
        • 2022
        • 2021
        • 2020
        • 2019
        • 2018
        • 2017
        • 2016
        • 2015
        • 2014
        • 2013
        • 2012
        • 2011
        • 2010
        • 2009
        • 2008
        • 2007
        • 2006
      • Appendix L Internship Program Guide
  • Adult Protective Services (APS)
    • 5500 Adult Protective Services
    • MAN 5500 Adult Protective Services Manual
      • 1000 Introduction and Purpose
        • 1001 Adult Protective Services Overview
        • 1002 Responsibility, Functions and Duties of Adult Protective Services
        • 1003 Persons Eligible for Adult Protective Services
        • 1004 Guiding Principles in Adult Protective Services
        • 1005 Definitions
        • 1006 Adult Protective Services Section Structure
      • 2000 APS Reports and Opening Cases
        • 2001 APS Reports and Opening Cases Overview
        • 2002 Accepting APS Reports
        • 2003 Reports with Multiple Vulnerable Adults in the Household
        • 2004 Residency
        • 2005 Notification
        • 2006 Acknowledgments
        • 2007 Directing Reports to Other Investigative Agencies
        • 2008 Confidentiality of Reporter and APS Records
        • 2009 Reports of Abuse in Long Term Care Facilities
        • 2010 Reports of A/N/E from Out-Of-State Reporters
        • 2011 Reports of A/N/E Involving DHS Employees
        • 2012 Documenting APS Reports
      • 3000 Investigation and Assessment
        • 3001 Introduction
        • 3002 Investigation
        • 3003 Assessment Conducted
        • 3004 Client Interview
        • 3005 Collateral Contact Interviews
        • 3006 Alleged Perpetrator Contact
        • 3007 Findings and Disposition
        • 3008 Law Enforcement
        • 3009 Guardianship and Conservator Petitions
        • 3010 Emergency Petitions
        • 3011 Case Transfers and Courtesy Visits
        • 3012 Documentation
      • 4000 Service Delivery and Case Management
        • 4001 Introduction
        • 4002 On-Going Service Types
        • 4003 On-Going Adult Protective Services – Consent to Service
        • 4004 New Allegations During On-Going Case Management
        • 4005 Case Planning
        • 4006 On-Going Case Contacts
        • 4007 On-Going Case Redetermination and Closure
        • 4008 Documentation
      • 6000 A/N/E MDT
        • 6001 Introduction
        • 6002 A/N/E MDT Attendance
        • 6003 A/N/E MDT Case Reviews
        • 6004 Record Sharing with A/N/E MDT
      • 7000 TERF Case Management
        • 7001 Introduction
        • 7002 Accepting TERF Reports
        • 7003 PRE TERF Case Management
        • 7004 TERF Case Management
        • 7005 Documentation
        • 7006 Collaboration
      • Appendix A Manual Transmittal Cover Letters
        • MT 03 2021 Cover Letter
        • MT 12 2020 Cover Letter
        • MT 04 2020c Cover Letter
        • MT 04 2020b Cover Letter
        • MT 04 2020 Cover Letter
        • MT 06 2019 Cover Letter
        • MT 03 2019 Cover Letter
        • MT 07 2018 Cover Letter
        • MT 03 2018 Cover Letter
        • MT 05 2017 Cover Letter
        • MT 07 2016 Cover Letter
        • MT 06 2014 Cover Letter
        • MT 09 2013 Cover Letter
        • MT 01 2011b Cover Letter
        • MT 01 2011 Cover Letter
        • MT 01 2009 Cover Letter
        • MT 01 2008 Cover Letter
        • MT 01 2007 Cover Letter
      • Appendix C Review Guides
        • APS Case Review Guide – Intake and Referral
        • APS Case Review Guide – Investigation and Assessment
        • APS Case Review Guide – Ongoing Services
        • APS Case Review Process
      • Appendix D APS Contact and Documentation Standards
      • Appendix E Other Agency Referral Forms
        • Healthcare Facilities Regulation (HFR) Referral Form
        • HFRi
        • Child Protective Services (CPS) Referral Form
        • CPSi
      • Appendix F Engaging the Reporter
      • Appendix G Assessment and Investigation Forms
        • Authorization for the Release of Information – Form 5459 (English)
        • Authorization for the Release of Information – Form 5459 (Spanish)
        • DHS Notice of Privacy Practices (HIPAA) – Form 5460 (English)
        • DHS Notice of Privacy Practices (HIPAA) – Form 5460 (Spanish)
        • Determination of Need - Revised (DON-R)
        • DON-Ri
        • Saint Louis University Mental Status (SLUMS) Examination
        • SLUMSi
        • Patient Health Questionnaire – 9 (PHQ-9)
        • PHQ-9i
        • APS Income Worksheet
        • ADRC Risk Assessment for Institutional Placement
        • Falls Risk Assessment
        • Food Security Survey Form
        • Guardianship or Conservatorship Referral Form
        • Guardianship Filing Checklist (GFC)
        • GFCi
        • Diligent Effort to Locate
        • Investigation Matrix
        • Assessment Matrix
        • Disabled Adult Abuse Report
        • Medical Records Request
        • Out-of-State Request Reporting Form
      • Appendix H APS Structure
      • Appendix I APS Field Safety Guide
  • Home and Community Based Services (HCBS)
    • MAN 5300 Home and Community-Based Services (HCBS)
      • 100 Administrative Guidelines and Requirements for Area Agencies on Aging
        • 110 Grievance Procedures for Individuals in Non-Medicaid HCBS Programs
        • 114 Guidelines for Client Assessment
          • Appendix 114-A Domains of Comprehensive Assessment
          • Appendix 114-B Determination of Need – Revised (DON-R)
          • Appendix 114-C Nutrition Screening Initiative – DETERMINE (NSI-D)
          • Appendix 114-D Food Security Survey
          • Appendix 114-E Risk Assessment Tool (RAT)
          • Appendix 114-F Montreal Cognitive Assessment (MoCA)
          • Appendix 114-G Montreal Cognitive Assessment – BLIND (MoCA-BLIND)
          • Appendix 114-H STEADI Toolkit
          • Appendix 114-I PHQ-9
          • Appendix 114-J GAD-7
          • Appendix 114-K Alcohol Use Disorders Identification Test (AUDIT-10)
          • Appendix 114-L Bakas Caregiving Outcomes Scale (BCOS)
        • 118 Prioritizing Clients
      • 200 General Service Requirements
        • 202 Program Guidelines and Requirements
          • Appendix 202-A Training Requirements for HCBS Staff
          • Appendix 202-B Documentation Guidelines
      • 200/300 Title III B Supportive Services
        • 206 Senior Center Requirements
          • Appendix 206-A Designing a Wellness Goal
        • 208 In-Home Services
          • Appendix 208-A Authorized and Prohibited Activities
          • Appendix 208-B Rebuilding Together: Safe at Home Checklist
        • 210 Case Management Services
          • Appendix 210-A Core Competencies for Case Managers
          • Appendix 210-B Quality Improvement Data
          • Appendix 210-C Service Plan Documents
        • 212 Consumer Directed Services
          • Appendix 212-A Principles of Consumer Direction
          • Appendix 212-B Forms and Templates
          • Appendix 212-C Risk Management Consumer Advisory Information
          • Appendix 212-D Services and Supports
        • 218 Transportation Services
        • 220 The Village Concept
        • 222 Behavioral Health Coaching
        • 314 Home Modification and Repair Services
          • Appendix 314-A Examples of Home Modifications / Repairs
          • Appendix 314-B Client Contractor Guidance
          • Appendix 314-C Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Falls Risk Assessment
        • 320 Telephone Reassurance
          • Appendix 320-A Heart to Heart Program Guide
          • Appendix 320-B How to Implement a Telephone Support Program for Persons with Early Stage Dementia and Caregivers
        • 322 Friendly Visiting
          • Appendix 322-A A Friendly Visiting Program Survey
        • 324 Assistive Technology Services
      • 300 Title III C Nutrition Services
        • 304 Nutrition Service Program Guidelines and Requirements
          • Appendix 304-A Evaluation of Individuals for Appropriate Meal Type
          • Appendix 304-B Georgia Nutrition Program Nutrient Targets for Meals
          • Appendix 304-C Hold Harmless Guidance
      • 200 Title III D Evidence Based Disease Prevention and Health Promotion Services
        • 214 Wellness Program Guidelines and Requirements
        • Hospital Care Transitions Manual
        • Hospital Care Transitions Cost Calculator
        • Title III-D Checklist
      • 200/300 Title III E Caregiver Support Programs
        • 216 Kinship Care Services
          • Appendix 216-A Support Groups
          • Appendix 216-B Kinship Care Quarterly Program Report
        • 302 Adult Day Care | Day Health Services
          • Appendix 302-A Sharps Disposal Guidelines
          • Appendix 302-B Guidelines for Manual Dishwashing
        • 316 Caregiver Services
      • 400 Title V Senior Community Service Employment Program (SCSEP)
        • 402 SCSEP Participant Handbook
        • 404 SCSEP Host Agency Handbook
        • 406 SCSEP Monitoring Tool
        • 408 SCSEP Request for Proposal
        • 410 SCSEP Host Agency Monitoring Form
        • 412 SCSEP Host Agency Agreement Form
        • 414 SCSEP Introduction
        • 416 SCSEP Policies and Procedures for Program Operations
        • 418 Program Management Requirements
          • Attachment 418-A Programmatic Assurances
        • 420 SCSEP Budget Management
          • Appendix 420-A SCSEP Allowable Costs with References
        • 422 SCSEP On-the-Job Experience (OJE)
          • Appendix 422-A SCSEP On-the-Job Experience Agreement
      • Appendix B Review Guides
        • 206 Senior Center Review Guide
        • 210 Case Management Review Guide
        • 222 Behavioral Health Coaching Review Guide
        • 302 Adult Day Care Review Guide
        • 304 Nutrition Services Review Guide
        • 306 Homemaker Services Review Guide
        • 308 Personal Care Review Guide
        • 310 In-Home Respite Review Guide
        • 312 Chore Services Review Guide
        • 314 Home Modification and Repair Services Review Guide
        • 314-B Home Modification and Repair Check Sheet Review Guide
        • 314-C Home Modification and Repair Spreadsheet Review Guide
        • 216 Kinship Care Services Review Guide
        • 316 Caregiver Services Review Guide
        • 322 Friendly Visiting Review Guide
      • Appendix C Manual Transmittals
      • Appendix D SCSEP Forms and Templates
        • SCSEP Initial Assessment Form
        • SCSEP Initial Individual Employment Plan Form
        • SCSEP Case Notes Form
        • SCSEP Confidential Statement of Income Form
        • SCSEP Enrollment Procedures Chart
        • SCSEP Participant Acknowledgement of Terms of Enrollment Form
      • Appendix E HCBS Forms and Templates
        • Client Notification Form
        • Client Rights and Responsibilities Form
        • Kinship Care Program Survey
        • Program Fidelity Manual
        • HCBS Comprehensive Assessment
        • DAS General Brochure (Spanish)
        • HCBS Notification Form (Spanish)
  • State Long-Term Care Ombudsman
    • 5100 State Long-Term Care Ombudsman
    • MAN 5100 Georgia Long-Term Care Ombudsman Program Policies and Procedures
      • Part I Introduction to the Long-Term Care Ombudsman Program
        • 100 General
        • 200 Definitions
      • Part II Administration of the Long-Term Care Ombudsman Program
        • 100 Program Structure
        • 200 Designation and Withdrawal of Designation of Ombudsman Programs and Ombudsman Representatives
          • 201 Designation of Ombudsman Programs
          • 202 Withdrawal of Designation of Ombudsman Programs
          • 203 Designation of Long-Term Care Ombudsman Representatives
          • 204 Refusal to Designate, Suspension of Designation, or Withdrawal of Designation of an Individual as a Long-Term Care OR
          • 205 SLTCO Authority and Reconsideration
        • 300 Roles and Responsibilities in Administering the Program
          • 301 The State Agency
          • 302 Advisory Council of the Office of the State Long-Term Care Ombudsman
          • 303 State Long-Term Care Ombudsman
          • 304 Area Agency on Aging
          • 305 Provider Agency
          • 306 Long-Term Care Ombudsman Representative
        • 400 Conflicts of Interest
          • 401 Identifying the Conflict
          • 402 Remedying Conflict
          • 403 Procedures to Avoid Conflicts of Interest
          • 404 Failure to Identify or Remedy a Conflict of Interest
        • 500 Confidentiality and Release of Long-Term Care Ombudsman Information
          • 501 Access to Long-Term Care Ombudsman Information
          • 502 Requests for Information Related to Specific Cases
        • 600 Legal Counsel for the Long-Term Care Ombudsman Program
          • 601 Adequate Legal Counsel
          • 602 Provision of Legal Counsel
          • 603 Obtaining Legal Counsel
        • 700 Liability
          • 701 Immunity from Liability
          • 702 Liability Insurance
        • 800 Interference and Retaliation
          • 801 Interference and Retaliation Prohibited
          • 802 Procedures for Reporting Interference or Retaliation
        • 900 Grievance Procedure
          • 901 General
          • 902 Grievance Intake and Response
          • 903 Confidentiality
          • 904 Types of Grievances
          • 905 Intake Procedure
          • 906 Response
          • 907 Completing the Process
          • 908 Training
      • Part III Guidelines for Ombudsman Representative Practice
        • 100 Program Components
          • 101 Complaint Processing
          • 102 Information and Assistance (I&A)
          • 103 Community Outreach and Education
          • 104 Training for Facility Staff
          • 105 Routine Visits
          • 106 Issues Advocacy
          • 107 Interagency Coordination
          • 108 Resident and Family Councils
          • 109 Volunteer Management
          • 110 Pre-Survey Information
        • 200 Other Program Components
          • 201 Advisory Council
      • Appendix A Code of Ethics for Ombudsman
      • Appendix B LTCO Representative Certification Training Requirements
      • Appendix C Georgia OLTCO Advisory Council Charter
      • Appendix D Grievance Related to the Performance of an OR of the SLTCO of Georgia Intake Form
  • Public Guardianship for Adults
    • 5800 Guardian of Last Resort for Adults and Public Guardianship Operations
    • MAN 5800 Public Guardianship for Adults
      • 1000 Overview
        • 1001 Introduction
        • 1002 Appointment and Authority
      • 2000 Program Operations
        • 2006 Field Safety
        • 2007 Confidentiality
        • 2008 Special Assistant Attorney General (SAAG)
      • 3000 Case Management
        • 3001 Client Notification Letter
        • 3004 Important Provisions in Guardianship Law
        • 3012 Universal Guardianship Roles
        • 3013 Universal Guardianship Roles in Case Management
        • 3021 Initial and Monthly Contacts
        • 3032 Case Planning
        • 3037 Chart Review
        • 3060 Documentation Standards
        • 3064 Signature Format
        • 3066 Guardianship Changes
        • 3068 Case Transfer
      • 4000 Safety of the Person Under Guardianship
        • 4001 Rights of Ward
        • 4002 Responsibilities of Guardian During a Natural Disaster or Crisis
        • 4003 Client Safety
        • 4006 Critical Incident Reporting
      • 4050 Probate Court
        • 4056 Personal Status Report
      • 5000 Guardianship
        • 5015 Temporary Guardianship
      • 5050 Health and Medical Care
        • 5053 Medical Consent
        • 5055 Medical Consent – Special Situations and Guidelines
      • 6000 Mental and Behavioral Health
        • 6007 Inpatient Hospitalization
        • 6010 Refusal of Psychotropic Medications
      • 6050 Residence and Placement
        • 6060 Placement in Licensed Long-Term Care Facilities
      • 7000 Income and Resources of the Person Under Guardianship
        • 7025 Emergency Relocation Funds
      • 9000 End of Life and Dying
        • 9001 Death of a Person Under Guardianship
      • 9050 End of Guardianship
        • 9055 Terminating Guardianship
        • 9056 Transfer of Guardianship
      • Appendix A Cover Letters
        • MT 2023-01
        • MT 2022-03
        • MT 2022-02
        • MT 2022-01
        • MT 2021-01
        • MT 2019-02
        • MT 2017-01
        • MT 2016-02
        • MT 2016-01
        • MT 2015-01
        • MT 2014-02
        • MT 2014-01
        • MT 2011-01
      • Appendix B Forms and Templates
        • Client Cash Tracking Form
        • Checklist for Filing Guardianship Petition
        • Client Assessment
        • Client Notification Letter
        • Client Notification Letter - Successor
        • Client Notification Letter - Temporary
        • Guardianship Checklist
        • Guardianship Conservatorship Referral Form
        • Medications Checklist for Guardians
        • PGO Case Plan, Individual
        • PGO Case Plan Supplemental Page
        • PGO Ethical Principles and Standards
        • PGO Medical Consent Authorization Form
        • Physician Recommended Medical Treatment or Procedure Form
        • Resident Inventory Form
      • Appendix C Definitions
      • Appendix D Policy Waivers
        • Monthly Contacts Policy Waiver
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  • Office of Legislative Affairs and Outreach
  • Office of Procurement Services
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  • Division of Aging Services
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  • MAN 5300 Home and Community-Based Services (HCBS)
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MAN 5300 Home and Community-Based Services (HCBS) | HCBS-5300-MANUAL

Georgia State Seal

Department of Human Services

Policy and Manual Management System

Index:

MAN 5300

Revised:

05/10/2023

Next Review:

01/31/2024
Appendix I APS Field Safety Guide 110 Grievance Procedures for Individuals in Non-Medicaid HCBS Programs

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