General Information
FORMS
- HCBS: Action Required For Non-Compliant Service Providers
- Vendor Application Form DS 1890 (English | Spanish)
- Applicant/Vendor Disclosure Statement Form DS 1891 (English | Spanish)
DOCUMENTS
- Westside 2023 CPP/CRDP Start Up Plan Approval
- Reimbursement for Early Start Provider Training
- Minimum Wage Increase Effective January 1, 2023
- DDS Vendor Rate Study – Rate Models for WRC
- Business Associate Agreement 8.15.17 Electronic Signature
- Cost Statement Directions
- Fee Sheet
- (Negotiated) Median Rate Budget Statement
- Independent Living Services (ILS) – Sample Cost Statement
- Supported Living Services (SLS) – Sample Cost Statement – Category A
- Supported Living Services (SLS) – B Attendance Sheet
- Health & Safety Waiver – DDS Letter to Regional Centers
- Health & Safety Waiver – Instructions Manual
- Health & Safety Waiver – Worksheet (Fillable Template)
- Health & Safety Waiver – Submission Instructions
- 2022 Minimum Wage Rate Adjustment Request Workbook – Traditional and Alternative – Community-Based Day and Work Activity Programs
- 2022 Minimum Wage Rate Adjustment Request Workbook – Traditional and Alternative – In-Home Respite Agencies
- 2022 Minimum Wage Rate Adjustment Request Workbook – Alternative Only – Community-Based Day and Work Activity Programs
- 2022 Minimum Wage Rate Adjustment Request Workbook – Alternative Only – In-Home Respite Agencies
COORDINATED FAMILY SUPPORTS
- Coordinated Family Supports Presentation – March 23, 2023
- Coordinated Family Support Services Pilot Program for Adult Consumers Who Reside With Their Family
- Enclosure A – CFS Service Code Description
- Enclosure B – CFS Fact Sheet
- Enclosure C – CFS Referral and Service Need Assessment Form
- Enclosure D – CFS Provider Quarterly Reporting Tool
POLICIES
Our policies are developed and maintained by the Board of Directors to guide us in the operations of WRC and in delivery of services to our clients and families.
- Conflict of Interest
- Contract Approval ($250K)
- Protocol for Disbursement for Start-Up and Developmental Funding Policy (Protocol | Policy)
- Purchase of Service (POS)
- Transparency and Access to Public Information
- Whistleblower
- Zero Tolerance for Abuse or Neglect