| Home Page | What's New | Families | Providers | Contact Us | Links | Find An Office | Employment | Medical Home | Friends of DSCC |
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A
Application Form for Families (Solicitud de Asistencia)
Application Forms for Providers:
B
Brochures:
- DSCC Core Program Brochure (en Español)
- Insurance: Questions & Answers About Health Insurance brochure
- Home Care Program brochure (Medicaid Home & Community Based Services Waiver for Medically Fragile, Technology Dependent Children)
- Institute for Parents of Preschool Children Who are Deaf or Hard of Hearing brochure:
- Newborn Hearing Screening Brochures:
English:
Newborn Hearing Screening: Information for Parents (form 43.00)
Newborn Hearing Screening: Instructions for Parents (form 43.01)Español:
Exámenes Preliminares De Audición para Recién Nacidos en Illinois: Información para los Padres (form 43.00S)
Prueba de Audición Universal para Recién Nacidos en Illinois:Instrucciones Importantes para los Padres (form 43.01S)Polski:
Program skriningu sluchu noworodków w stanie Illinois: Informacje dla rodziców (43.00P)
Program skriningu sluchu noworodków w stanie Illinois: Wazne instrukcje dla rodziców (43.01P)
C
The Children's Habilitation Clinic
Coordinated Care Record web page
D
DSCC & Care Coordination At a Glance (Coordinación de Cuidado en Breve)
DSCC Core Program Brochure (en Español)
DSCC Family Handbook (DSCC Manual para la Familia)
E
F
Family Handbook (DSCC) (DSCC Manual para la Familia)
Family Handbook on Future Planning
Family Newsletter: Special Addition
Families Need to Know About a Medical Home
G
Guidelines for Nurses Working in Home Care (PDF)
H
Hearing Screening Brochures:
Newborn Hearing Screening Program Diagnostic Evaluation Form (form 3.45)
English:
Newborn Hearing Screening: Information for Parents (form 43.00)
Newborn Hearing Screening: Instructions for Parents (form 43.01)Español:
Exámenes Preliminares De Audición para Recién Nacidos en Illinois: Información para los Padres (form 43.00S)
Prueba de Audición Universal para Recién Nacidos en Illinois:Instrucciones Importantes para los Padres (form 43.01S)Polski:
Program skriningu sluchu noworodków w stanie Illinois: Informacje dla rodziców (43.00P)
Program skriningu sluchu noworodków w stanie Illinois: Wazne instrukcje dla rodziców (43.01P)
The Home Care Program
- Home Care Program brochure (Medicaid Home & Community Based Services Waiver for Medically Fragile, Technology Dependent Children)
Home Care Provider Forms:
- Price Estimate for Medical Equipment & Supplies (PDF)
- Home Care Billing Form (PDF)
- Home Care Billing Form (Word)
- Home Care Nursing Supervisory Summary Form (Word)
- Home Care Nursing Supervisory Summary Form (PDF)
- Guidelines for Nurses Working in Home Care (PDF)
- Guidelines for Nursing Agencies Working with the Illinois Home and Community Based Services (HCBS) Waiver for Medically Fragile, Technology Dependent Children (PDF)
I
Illinois Provider Directory for Children with Special Health Care Needs & their Families
Illinois Provider Directory Application form
Information Library for Families
Institute for Parents of Preschool Children Who are Deaf or Hard of Hearing:
Insurance: Questions & Answers About Health Insurance brochure
J
K
L
Links to Resources & Information
M
Medical Home:
Creating a Medical Home: The Foundation for Primary Care Delivery
- Parent Partnerships
- Practice Assessment
- Consumer Awareness
- Practice Improvements
- Preventive Care Management
- Acute Illness Management
- Chronic Condition Management
- Diagnosis Modules
- Transition Information
- Community Resources
- Medical Home Reimbursement
- Quality Improvement
Medical Home CME Monograph for Physicians
Medical Home Brochure for Families
Medical Home Brochure for Providers
Medical Home Services: DSCC Reimbursement Guidelines
Medical Home: What Families Need to Know
N
Newborn Hearing Screening Brochures:
Newborn Hearing Screening Program Diagnostic Evaluation Form (form 3.45)
English:
Newborn Hearing Screening: Information for Parents (form 43.00)
Newborn Hearing Screening: Instructions for Parents (form 43.01)Español:
Exámenes Preliminares De Audición para Recién Nacidos en Illinois: Información para los Padres (form 43.00S)
Prueba de Audición Universal para Recién Nacidos en Illinois:Instrucciones Importantes para los Padres (form 43.01S)Polski:
Program skriningu sluchu noworodków w stanie Illinois: Informacje dla rodziców (43.00P)
Program skriningu sluchu noworodków w stanie Illinois: Wazne instrukcje dla rodziców (43.01P)
O
P
Privacy Practices Notice (Aviso Sobre Prácticas de Privacidad )
Programs:
Provider Information & Resources:
Illinois Provider Directory for Children with Special Health Care Needs & their Families
Illinois Provider Directory Application form
DSCC Provider Approval Criteria
DSCC Reimbursement ProcedureDSCC Provider Application Forms:
- Training and Experience Form
- TIN & Legal Status Certification Form
- Complete and submit only one (1) of the following:
- Liability Insurance Statement
(for Physicians and Health Care Professionals)
- Liability Insurance Statement
(for Health Care Facilities)
- Liability Insurance Statement
(for Therapy Groups)
- Liability Insurance Statement
(for Contractors)
- Liability Insurance Statement
(for Home Care Agencies)
- Liability Insurance Statement
(for Other Health Care Providers)
Newborn Hearing Screening Brochures:
Newborn Hearing Screening Program Diagnostic Evaluation Form (form 3.45)
English:
Newborn Hearing Screening: Information for Parents (form 43.00)
Newborn Hearing Screening: Instructions for Parents (form 43.01)Español:
Exámenes Preliminares De Audición para Recién Nacidos en Illinois: Información para los Padres (form 43.00S)
Prueba de Audición Universal para Recién Nacidos en Illinois:Instrucciones Importantes para los Padres (form 43.01S)Polski:
Program skriningu sluchu noworodków w stanie Illinois: Informacje dla rodziców (43.00P)
Program skriningu sluchu noworodków w stanie Illinois: Wazne instrukcje dla rodziców (43.01P)Core Program Treatment Forms:
- IDPH Newborn Screening Program Diagnostic Evaluation Form (form 3.44)
- Therapy Treatment Plan (form 05.27)
- Pediatric Ophthalmologic Report (form 05.26)
- Physician Recommendation for Hearing Aids (form 05.32)
- Evaluation/Training for Use of Equipment (Vendor Form) (form 05.33-2)
- Evaluation/Training for Use of Equipment (Therapist Form) (form 05.33-3)
Home Care Provider Forms:
- Price Estimate for Medical Equipment & Supplies (PDF)
- Home Care Billing Form (PDF)
- Home Care Billing Form (Word)
Transition Tools for Providers:
Q
R
S
School to Work Checklist (De la escuela al trabajo lista de comprobación)
T
Transition:
Transition Information Sheet for Families (Información sobre la Transición)
Transition Information & Resources
Transition Milestones Skills Lists For Parents, Caregivers and Others
Transition Milestones Skills Lists Just for Teens
Transition: Bridging the Gap Between Pediatric and Adult Services
Family Handbook on Future Planning
U
V
W
Work Incentives Programs (through the Social Security Administration)
X
Y
Z
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| Home Page | What's New | Families | Providers | Contact Us | Links | Find An Office | Employment | Medical Home | Friends of DSCC |
last modified: 29 March 2013