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SSI-E Documents

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Contact Information
Letterhead and Logos
Enrollment Packet Documents
SSI-E Documents
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SSI-E Training Materials

Flow Chart
Regional Training - Zoom Recording


Approval Letters

Juneau Approval Letter
Crawford Approval Letter
Richland Approval Letter

Change Agreements for Natural Residence
​

Juneau - Change Agreement for Natural Residence
Crawford - Change Agreement for Natural Residence
Richland  - Change Agreement for Natural Residence

Change Agreements for Substitute Care

Juneau - Change Agreement for Substitute Care
Crawford - Change Agreement for Substitute Care
Richland - Change Agreement for Substitute Care

Change Form for Natural Residents

Juneau - Change Form for Natural Residence
Crawford - Change Form for Natural Residence
Richland - ​Change Form for Natural Residence

Change Form for Substitute Care

Juneau - Change Form for Substitute Care
Crawford - Change Form for Substitute Care
Richland - ​Change Form for Substitute Care

Denial Letters

Juneau - Denial Letter
Crawford - Denial Letter
Richland - Denial Letter

Other Documents

Appeals or Complaints
Certification for SSI-E 
Assessment Worksheet for Natural Residential Setting
​SSI-E Natural Residential Setting Application Checklist
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  • Home
  • About Us
    • Youth in Transition
    • Long Term Care
    • Transportation Services
    • Caregiver Support
    • Wellness and Prevention
    • Veterans
    • Governing Board >
      • Agendas and Minutes >
        • 2020 Agendas and Minutes
        • 2021 Agendas and Minutes
        • 2022 Agendas and Minutes
        • 2023 Agendas and Minutes
        • 2024 Agendas and Minutes
        • 2025 Agendas and Minutes
  • Our Specialists
  • Dementia Care Specialist
  • Resources
  • Contact
    • Juneau County Office
    • Crawford County Office
    • Richland County Office
    • Regional Office
  • News
    • Newsletters
  • Events
  • Volunteer