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Sivivan blesi nan sèvo ka fè eksperyans diskriminasyon nan plizyè fason. , Kèk egzanp genyen ladan yo: , Diskriminasyon nan travay: Anpil sivivan blesi nan sèvo ka fè fas ak diskriminasyon lè y ap chèche travay. Yo ka refize yon djòb oswa pase yo pou pwomosyon akòz aksidan yo, oswa yo ka fòse yo pran yon pozisyon ki pi ba yo peye. , Diskriminasyon edikasyonèl: Sivivan blesi nan sèvo ka fè fas a diskriminasyon tou nan sistèm edikasyon an. Yo ka refize admisyon nan yon lekòl oswa pwogram oswa yo ka eskli nan sèten klas oswa aktivite. , Diskriminasyon nan swen sante: Kèk sivivan blesi nan sèvo pa ka resevwa menm nivo swen oswa atansyon nan men founisè swen sante ak moun ki pa blese nan sèvo. Yo ka refize tou asirans pou sèvis tretman oswa reyabilitasyon. , Diskriminasyon sosyal: Sivivan blesi nan sèvo yo ka eskli nan aktivite sosyal oswa zanmi yo ak fanmi yo trete yon fason diferan. Rezilta a ka izolasyon ak opòtinite limite pou entèraksyon sosyal. , Diskriminasyon anviwònman aksesib: li ka fè fas ak baryè pou aksè nan bilding, transpò ak lòt aktivite k ap viv chak jou akòz mank enfrastrikti aksesib. , Li vo mansyone ke lwa ak règleman yo an plas pou pwoteje moun ki gen andikap, tankou Lwa Ameriken andikape yo (ADA) ki entèdi diskriminasyon kont moun ki andikape nan travay, lojman, akomodasyon piblik, ak lòt domèn. Malgre lwa yo, kalite diskriminasyon sa yo ka toujou rive, epi sivivan blesi nan sèvo ka bezwen defansè ak reprezantasyon legal pou pwoteje dwa yo. Ou ka rapòte diskriminasyon lè w klike isit la.

MFP program ABI waiver program Healthcare services Financial assistance Eligibility criteria Benefit renewal process Service disruptions Medical aid Food support Cash assistance Apply for benefits Check eligibility MyAccount DSS benefits info Social services Public assistance programs Government benefits. ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNE MFP program ABI waiver program Healthcare services Financial assistance Eligibility criteria Benefit renewal process Service disruptions Medical aid Food support Cash assistance Apply for benefits Check eligibility MyAccount DSS benefits info Social services Public assistance programs Government benefits. ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNE 1/2 DSS Community Options / Connecticut Department of Social Services address . 1-855-626-6632 The Connecticut Department of Social Services (DSS) is a state government agency responsible for administering programs and services related to welfare, social services, and economic assistance for individuals and families in need. Some of the programs and services offered by DSS include cash assistance, food assistance, child care assistance, and programs for the elderly and disabled. DSS also administers programs that support individuals and families in achieving self-sufficiency, such as job training and education. The Connecticut Department of Social Services (DSS) serves all towns in the state of Connecticut. DSS is a state agency and its programs and services are available to all residents of Connecticut who meet the eligibility criteria for the specific program or service. The agency has regional offices throughout the state, which allow it to provide services to residents in all towns, including urban, suburban, and rural areas. The Connecticut Department of Social Services (DSS) has regional offices located throughout the state. The specific locations, addresses and phone numbers of the offices will likely vary. It is recommended to check the official website of the Connecticut DSS or contact the main office of the agency to get the current information on the locations, addresses and phone numbers of the regional offices. You can find the main office contact information on the official website of Connecticut DSS. The website also has a "Contact Us" page that lists the various ways to contact the agency including phone numbers, e-mails, and addresses of DSS offices. To call the Connecticut Department of Social Services (DSS), you can find the phone numbers on the official website of the agency. You can also check the "Contact Us" page of the website for more ways to contact the agency. Alternatively, you can call the main office of the Connecticut DSS by dialing the following number: 1 -855-626-6632 When you call, you may be prompted to select an option from an automated menu or speak with an operator. It's advisable to have your case number or other identifying information ready when you call, so that the representative can assist you more efficiently. It's worth noting that, during high-volume call times, you may experience longer wait times, so it's best to call during off-peak hours if possible. If you are having difficulty reaching the agency, you can also try reaching out through email or visiting a local DSS office in person. Also, check the official website for more specific information about the program or service you need assistance with, as some programs have specific phone numbers or email addresses for inquiries. DSS Field Offices and the staffed Benefits Center ( 1-855-6 26-6632 ) are open Monday, Tuesday, Thursday, and Friday, from 8:00 a.m. to 4:30 p.m. (closed Wednesday).​ ​ Bridgeport Field Office 925 Housatonic Avenue Bridgeport, CT 06606 Danbury Field Office 342 Main Street Danbury, CT 06810 Greater Hartford Field Office 20 Meadow Road Windsor, CT 06095 Manchester Field Office 699 East Middle Turnpike Manchester, CT 06040 Middletown Field Office 2081 South Main Street, Suite B Middletown, CT 06457 New Britain Field Office 30 Christian Lane New Britain, CT 06051-4152 New Haven Field Office 50 Humphrey Street New Haven, CT 06513 Norwich Field Office 401 West Thames Street Norwich, CT 06360 Torrington Field Office 62 Commercial Boulevard Torrington, CT 06790 Stamford Field Office 1642 Bedford Street Stamford, CT 06905 Waterbury Field Office 249 Thomaston Avenue Waterbury, CT 06702 Willimantic Field Office 1320 Main Street / Tyler Square Willimantic, CT 06226 ​ MFP program ABI waiver program Healthcare services Financial assistance Eligibility criteria Benefit renewal process Service disruptions Medical aid Food support Cash assistance Apply for benefits Check eligibility MyAccount DSS benefits info Social services Public assistance programs Government benefits. ABI RESOURCES CONNECTICUT CT DSS ACQUIRED BRAIN INJURY ABI WAIVER AND MFP AGENCY PROVIDER. CT SUPPORTED LIVING AND COMMUNITY CARE LEADERS. BRAIN INJURY COMMUNITY OF CONNECTICUT BICC DISABILITY RIGHTS OF CONNECTICUT ADVOCATES ​ Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources 1/13

Administrasyon Sekirite Sosyal Biwo Sekirite Sosyal nan Torrington 147 Litchfield Street 06790, Torrington, Connecticut 1-877-405-0486 , 1-800-772-1213 , 1-860-626-9568 Sèvis Detèminasyon Enfimite Pandan ke aplikasyon pou andikap Sekirite Sosyal yo pran nan biwo lokal lokal yo, desizyon medikal yo se pran nan chak eta pa yon sèvis detèminasyon andikap. Si ou deja ranpli yon aplikasyon pou benefis andikap oswa si ou se yon founisè medikal, ou ka poste enfòmasyon medikal sou yon aplikan Connecticut bay: Disability Determination Services 309 Warwarme Avenue Hartford, CT. 06114 Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Waterbury, Connecticut 1-877-405-4874, 1-800-772-1213, 1-800-325-0778 Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 1/29

Èske w ap chèche yon Founisè Pwogram Egzansyon ABI Apwouve? Terapis Konpòtman kognitif , Li pi bon pou w pale ak manadjè ka w la ak/oswa travayè sosyal, yo gen resous pou ede w epi yo pral ede w idantifye yon founisè ki apwouve. Men yon lis kèk nan Terapis Konpòtman Konpòtman kognitif Pwogram ABI Waiver apwouve. Lis sa a pa nan okenn lòd patikilye. Si w se yon CBT ki apwouve pa ABI Waiver Program e ou vle ajoute nan lis sa a, tanpri kontakte nou. ABI Resources pa ni asire entegrite ak/oswa fyab nenpòt founisè, ni rekòmande nenpòt moun ki nan lis sou sit entènèt sa a. Enfòmasyon sa a se pou referans piblik sèlman. Se responsablite w pou fè entèvyou ak analize founisè potansyèl yo epi pran desizyon edike. Tanpri sonje ke ka genyen anpil Founisè Konpòtman Konpòtman kognitif ki apwouve pa ABI Waiver Program ki pa ka jwenn sou sitwèb sa a. Gen kèk founisè ki ka pa aksepte nouvo kliyan nan moman sa a. Li pi bon pou w pale ak manadjè ka w la ak/oswa travayè sosyal, yo gen resous pou ede w epi yo pral ede w idantifye yon founisè ki apwouve. , , , Easter Seals Capital Region & Eastern CT Inc Henry Drapalski 100 Deerfield Road Windsor, CT 06095-4252 Nimewo Telefòn: 1-860-270-0600 Nimewo Faks: 1-860-270-0601 Telefòn Pòtab: 1-860-270-0600 Imèl: jcollon@escroc.org Sit entènèt: http://www.easterseals.com/hartford/ Fòm: Referans kliyan ak zafè ki gen rapò ak kliyan: Jennifer Collon Telefòn: 1-860-270-0600 x160 Imèl: jcollon@escroc.org Apre lè: 1-860-270-0600 Doktè James W Pier PhD , Doktè James W Pier PhD 700 West Johnson Avenue STE 310 Cheshire, CT 06410-1197 Nimewo Telefòn: 1-203-272-6007 Nimewo Faks: 1-203-272-8895 Telefòn Pòtab: 1-860-966-3225 Imèl: jameswpier@sbcglobal.net Sit entènèt: https://instituteofliving.org/find-a-doctor/physician-detail?id=003j000000GD3CDAA1 , Referans kliyan ak zafè ki gen rapò ak kliyan: Lynn Bolton oswa Susan Robitaille Telefòn: 1-203-272-6007 (apre lè tou) Imèl: Susan.neneuropsych@gmail.com Tracey M Sondik Tracey M Sondik 341 East Center Street Ste 237 Manchester, CT 06040-4445 Nimewo Telefòn: 1-860-966-4578 Nimewo Faks: 1-860-643-6625 Telefòn Pòtab: 1-860-966-4578 Imèl: tmsondik@aol.com Lopital pou Swen Espesyal Janice Haesche Depatman Sikoloji 2150 Corbin Avenue New Britain, CT 06053-2298 Nimewo Telefòn: 1-860-827-4751 Nimewo Faks: 1-860-832-6278 Imèl: balfano@hfsc.org Sitwèb: http://hfsc.org/about-us/medical-staff , , John Stanwood, PhD , Timothy Belliveau, PhD, ABPP - Neropsikològ klinik , Jennifer R. Cromer, PhD nan klinik neropsikològ Dennis Johnston, PhD - Direktè Sèvis nerosikolojik , Colette Seter Elliott, PhD - Sikològ Reyabilitasyon , Alaina Breitberg, PsyD - Sikològ Reyabilitasyon Peter Love Educational Consulting LLC Peter Love MPH PhD 167 East High Street East Hampton, CT 06424-2008 Nimewo Telefòn: 1-860-305-6375 Nimewo Faks: 1-860-267-0345 Imèl: lovepeter@sbcglobal.net Sit entènèt: http://www.peterloveeducationalconsulting.com , Limit responsabilite nou: ABI Resources pa ni asire entegrite ak fyabilite nenpòt founisè ni rekòmande nenpòt moun ki nan lis sou sit entènèt sa a. Enfòmasyon sa a se pou referans piblik sèlman. Se responsablite w pou fè entèvyou ak analize founisè potansyèl yo epi pran desizyon edike. Tanpri sonje ke ka genyen anpil Founisè Konpòtman Konpòtman kognitif ki apwouve pa ABI Waiver Program ki pa ka jwenn sou sitwèb sa a. Li pi bon pou w pale ak manadjè ka w la ak/oswa travayè sosyal ou pou ede w idantifye yon founisè. CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CI CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CIVIL RIGHTS FREEDOM OF CHOICE HOME SUPPORTED LIVING COMMUNITY CARE CCCI SWCAA WCAAA HTTPS:WWW.CTBRAININJURY.COM CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CI CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CIVIL RIGHTS FREEDOM OF CHOICE HOME SUPPORTED LIVING COMMUNITY CARE CCCI SWCAA WCAAA HTTPS:WWW.CTBRAININJURY.COM CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CI CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CIVIL RIGHTS FREEDOM OF CHOICE HOME SUPPORTED LIVING COMMUNITY CARE CCCI SWCAA WCAAA HTTPS:WWW.CTBRAININJURY.COM CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CI CONNECTICUT THERAPY BEHAVIORIST CBT COGNITIVE BEHAVIORAL MFP ABI WAIVER PROGRAM DISABILITY RIGHTS CIVIL RIGHTS FREEDOM OF CHOICE HOME SUPPORTED LIVING COMMUNITY CARE CCCI SWCAA WCAAA HTTPS:WWW.CTBRAININJURY.COM 1/9 Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources 1/13

Rekòmandasyon Fanmi yo Sivivan yo ak fanmi yo rekòmande videyo sa yo.

Adrès Depatman Sèvis Sosyal Connecticut. Waterbury Field Office 249 Thomaston Avenue Waterbury, CT 06702 Biwo DSS ak Sant Benefis ki gen anplwaye yo ( 1-855-626-6632 ) ouvri lendi, madi, jedi ak vandredi, ant 8:00 am ak 4:30 pm (fèmen Mèkredi). Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Waterbury, Connecticut 1-877-405-4874, 1-800-772-1213, 1-800-325-0778 Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 1/29 Bridgeport Hartford Manchester Middletown New Britain New Haven Norwich Torrington Stamford Waterbury Willimantic , Pwogram MFP Pwogram egzansyon ABI Sèvis swen sante Asistans finansye Kritè kalifikasyon Pwosesis renouvèlman benefis Dezòd sèvis yo Èd medikal Sipò manje Asistans lajan kach Aplike pou benefis yo Tcheke kalifikasyon Kont mwen Enfòmasyon sou benefis DSS Sèvis sosyal Pwogram asistans piblik Gouvènman benefis. , ABI RESOUS CONNECTICUT CT DSS ACQUISI PWODIKSYON ABI ABI AK FOUNIS AJANS MFP. CT SIPÒTE LIDÈ LIV AK SWEN KOMINOTE. BLESYON SÈVO KOMINOTE CONNECTICUT BICC DWA ANDIKAP DEVOKA CONNECTICUT ,

Administrasyon Sekirite Sosyal Biwo Sekirite Sosyal nan New London Rm 101, 2 Shaws Cove 06320, New London, Connecticut 1-866-643-3401 , 1-800-772-1213 , 1-800-325-0778 Sèvis Detèminasyon Enfimite Pandan ke aplikasyon pou andikap Sekirite Sosyal yo pran nan biwo lokal lokal yo, desizyon medikal yo se pran nan chak eta pa yon sèvis detèminasyon andikap. Si ou deja ranpli yon aplikasyon pou benefis andikap oswa si ou se yon founisè medikal, ou ka poste enfòmasyon medikal sou yon aplikan Connecticut bay: Disability Determination Services 309 Warwarme Avenue Hartford, CT. 06114 Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Social Security Administration Social Security Office in Waterbury Suite 1, 51 North Elm St 06702, Waterbury, Connecticut 1-877-405-4874, 1-800-772-1213, 1-800-325-0778 Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person a Phone 1-855-626-6632 Connecticut CT Department of Social Services DSS MFP Money Follows the Person and ABI Waiver Program Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham CT community care Home Health ABI Resources Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Wil Social Security Administration Social Security Office in Willimantic Ste 19, 1320 Main St 06226, Willimantic, Connecticut 1-877-405-0488, 1-800-772-1213, 1-800-325-0778 1/29

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SOCIAL GROUPS AND EVENTS Sant Sosyal Resous ABI | Gales Ferry

HOME MORE THE ULTIMATE FREE DOWNLOAD! CARE PACKAGE "Get Ahead with this Comprehensive Care Package" WHERE SHOULD I SEND YOUR FREE PLAYBOOK? First Name Last Name Email SEND ME THE FREE CARE PACKAGE! Click here to download ​ ​ Training Downloads • ABI Employer Manual-Appendix.pdf • Appointment Weekly Schedule.pdf • DSS Provider Information Manual - Acknowledgement Form.pdf • DSS Provider Information Manual.pdf • Employee Training Documentation Form-Spanish.pdf • Employee Training Documentation Form.pdf • Employer OPT-OUT Form .pdf • Employer Orientation Certification.pdf • Job Description -Chore Services.pdf • Job Description -Companion Services.pdf • Job Description -Homemaker Services.pdf • Job Description -Personal Care Assistance Services.pdf • Weekly Schedule (large format).pdf • ABI Service Description for Manual.pdf • DSS Provider Information Manual-Spanish translation.pdf Employment Downloads • ABI Employment Packet Sample.pdf • DSS Provider Directory Application.pdf • Transportation Application Packet.pdf • Transportation Services Application Supplement.pdf • ILST Application Packet.pdf • Rapid Paycard FAQs.pdf • DSS Employment Application checklist.pdf • Employment Packet Checklist.pdf • Employment Status Form.pdf • DSS Provider Agreement.pdf • Form I-9.pdf • DSS Employment Packet.pdf • 2023 CT W-4.pdf • 2023 W-4.pdf • Employment Forms Packet.pdf General Information Downloads • Agency-Vendor Information Update.pdf • Discrimination is Illegal Poster (distributed to Employer at the time of home visit).pdf • Discrimination is Illegal Poster-Spanish (distributed to Employer at the time of home visit).pdf • Emergency Contact & Medical Information Form.pdf • Participant-Employer WC Information Booklet (for distribution at the home visit or by mail upon request to DSS program participants).pdf • Sexual Harassment is Illegal Poster (distributed to Employer at time of home visit).pdf • Spanish Signature Verification Form Sample.pdf • Web B Poster to Work English Version.pdf • ACR Consent and Acknowledgement Form.pdf • Sample Signature Verification Form-Spanish.pdf • Sample Signature Verification Form.pdf • Grievance Form.pdf • Authorized Representative Documentation Packet.pdf • Signature Verification Packet.pdf • Authorized Representative Document.pdf • Authorized Representative Document Instructions with Sample.pdf • Participant-Representative Personal Information Update Packet.pdf • Personal Information Update Form.pdf Payroll Downloads • CT Universal Time Sheet Sample.pdf • DSS Vendor Billing Invoice Form (Sample).pdf • MFP Realtor Billing Invoice Form.pdf • Billing Form for Pre-Approved Services.pdf • Pre-Approved Service Payment Authorization.pdf • Billing Form for Pre-Approved Services-Sample.pdf • CT DSS Universal Time Sheet.pdf • Payroll Notice.pdf • Direct Deposit Authorization.pdf • EVV Telephony Instructions English.pdf • EVV Telephony Instructions Spanish.pdf • DSS Pay Schedule v2023.pdf Form Links • Employee termination Form • Non-Payment Inquiry Form • Personal Information Update Form • Request for Information Form ABI Basic Information Sessions ABI Basic Informational Session Quiz – Handouts – Here Spanish (Española): Informacion Basica De La Prueba De Las Sesiones – Handouts – Here There are two Acquired Brain Injury (ABI) Waivers, known as ABI Waiver I and ABI Waiver II, which are administered by the Department of Social Services (DSS). These waivers provide a person-centered plan of care for an array of non-medical, home and community-based services to individuals with an acquired brain injury who currently receive or would otherwise require services in an institutional setting. Both waivers are functionally similar, however ABI Waiver II includes new services, has a lower cost cap and does not have Transitional Living Services. Note: ABI Waiver I is currently closed to new participants. Eligibility Criteria To be eligible for the ABI Waiver II, individuals must be: • Eligible for Medicaid • Between ages 18 and 64 with an acquired brain injury • Meet the DSS “Level of Care Requirement” which means that without the waiver services the individual would otherwise receive services in an institutional setting • Able to participate in the development of a service plan in partnership with a DSS social worker or have a conservator to do so. An ABI is an injury to the brain that has occurred after birth which results in improper brain function. The condition cannot be congenital, developmental, or degenerative to be considered for the ABI Waiver II. Med-Connect applicants may also meet the financial eligibility rules for the program through the Medicaid for Employed Disabled coverage group. Under the program, working individuals can have income up to $75,000 per year, $10,000 in assets and receive Medicaid subject to payment of a monthly premium. Individuals who cannot afford the cost of care, but are over Medicaid’s limits may still qualify. The state has a spend down program that evaluates an individual’s care costs and their income. If it is calculated that an individual cannot meet their care costs, they can qualify for Medicaid by spending-down their income over the limit on their medically-necessary care costs. Types of Services & Supports that can be used for Acquired Brain Injury (ABI) Waiver Services may include assistance with Activities of Daily Living (ADLs) such as eating, bathing, dressing, transferring and toileting. ​ Other supports include, but are not limited to: • Case management (care plan development and monitoring) • Transportation • Vocational support • Independent Living Skills training • Personal Care Assistance (PCA) Services • Homemaker-Companion Services • Respite Services • Home Delivered Meals • Assistive Technology • Home Modifications • Personal Emergency Response Systems (PERS) Connecticut Waiver Factsheet CT ABI Waiver II (1085.R01.00) Provides ABI group day, adult day health, homemaker, personal care, prevocational services, respite, supported employment, ABI recovery assistant II, ABI recovery assistant, assistive technology, chore, cognitive behavioral programs, community living support services, companion, consultation services, environmental accessibility modifications, home delivered meals, independent living skills training, personal emergency response systems, substance abuse programs, transportation, and vehicle modification services to individuals with brain injury ages 18 or older who meet a hospital, nursing facility, or ICF/IID level of care. CT Acquired Brain Injury (ABI) Waiver (0302.R05.00) Provides homemaker, pre-vocational service, respite, supported employment, ABI group day, assistive technology, chore, cognitive behavioral programs, community living support services, companion, environmental accessibility adaptation, home-delivered meals, independent living skills training, personal emergency response systems, substance abuse programs, transitional living services, transportation, and vehicle modification services to individuals with brain injury ages 18 or older who meet a hospital, nursing facility, or ICF/IID level of care. CT Comprehensive Supports Waiver (0437.R03.00) Provides adult day health, blended supports, group day supports, group supported employment, live-in caregiver, prevocational services, respite, independent support broker, assisted living, assistive technology, behavioral support services, community companion homes, community living arrangements, companion supports aka as adult companion, continuous residential supports, customized employment supports, employment transitional services, environmental modifications, health care coordination, home delivered meals, individual directed goods and services, individual supported employment, individualized day supports, individualized home supports, interpreter, nutrition, parenting support, peer support, personal emergency response system, personal support, remote supports service, senior supports, shared living, specialized medical equipment and supplies, training/counseling/support services for unpaid caregivers, transportation, and vehicle modification services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care. CT Employment and Day Supports Waiver (0881.R02.00) Provides adult day health, blended supports, group day supports aka community based day support options, individual supported employment, prevocational services, respite, independent support broker, peer support, assistive technology, behavioral support services, customized employment supports, employment transitional services, environmental modifications, group supported employment, home delivered meals, individual direct goods and services, individualized day support, interpreter, personal emergency response system, remote supports, specialized medical equipment and supplies, training/counseling/support services for unpaid caregivers, transportation, and vehicle modification services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care. CT HCBS for Elders Waiver (0140.R07.00) Provides adult day health, care management, homemaker, personal care assistant, respite, adult family living, assisted living, assistive technology, bill payer, care transitions, chore, chronic disease self-management program, companion, environmental accessibility adaptations, home delivered meals, mental health counseling, personal emergency response systems, recovery assistant, and transportation services to individuals ages 65 or older who meet a nursing facility level of care. This waiver operates with a concurrent 1915(b)(4) authority. CT Home and Community Supports Waiver for Persons with Autism (0993.R02.00) Provides live-in companion, respite, assistive technology, clinical behavioral support services, community mentor, individual goods and services, interpreter, job coaching, life skills coach, non-medical transportation, personal emergency response system, social skills group, and specialized driving assessment services to individuals with autism ages 3 or older who meet an ICF/IID level of care. CT Individual and Family Support Waiver (0426.R04.00) Provides adult day health, blended supports, community companion homes, group day supports, individual supported employment, live-in companion, prevocational services, respite, independent support broker, assistive technology, behavioral support services, companion supports aka adult companion, continuous residential supports, customized employment supports, employment transitional services, environmental modifications, group supported employment, health care coordination, home delivered meals, individualized day supports, individualized home supports, individually directed goods and services, interpreter, nutrition, parenting support, peer support, personal emergency response system, personal support, remote supports services, senior supports, shared living, specialized medical equipment and supplies, training/counseling/support services for unpaid caregivers, transportation, and vehicle modification services to individuals with developmental disabilities ages 18 or older, and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care. CT Katie Beckett Waiver (4110.R08.00) Provides case management services to individuals with physical disabilities ages 0-22 years who meet a hospital, nursing facility, or ICF/IID level of care. CT Mental Health Waiver (0653.R03.00) Provides adult day health, community support program, supported employment, assisted living, assistive technology, brief episode stabilization, chore services, home accessibility adaptations, home delivered meals, interpreter, mental health counseling, non-medical transportation, overnight recovery assistant, peer supports, personal emergency response systems, recovery assistant, specialized medical equipment, and transitional case management services to individuals with mental illness ages 22 or older who meet a nursing facility level of care. CT Personal Care Assistance Waiver (0301.R05.00) Provides adult day health, agency-based personal care assistant, care management, meals on wheels, adult family living, mental health counseling, and personal emergency response system services to individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care. This waiver operates with a concurrent 1915(b)(4) authority.