Case Management Resources

Tribal ALTCS Programs shall establish a system of record keeping that maintains case file documentation in a secure and organized manner. Case Managers are responsible for maintaining complete and comprehensive case file documentation for each member. Below are forms utilized by Tribal ALTCS Case Managers.

Tribal ALTCS Deliverable Report Schedule 2020-21

• View Schedule

How to use Google Meet

• Video Tutorial

Tribal ALTCS Member Handbook

• Tribal ALTCS Member Handbook April 2020

Archived Resources

• ALF Residency Plus Room & Board Calculation Sheet 2020
• Exhibit 1620-2, ALTCS Member Change Report
• Exhibit 1620-3, Uniform Assessment Tool and Guidelines
• Exhibit 1620-7, Fee-For-Service (FFS) Out-of-State Nursing Facility Placement Request Form
• Exhibit 1620-8, Contractor Change Request Form
• Exhibit 1620-9, ALTCS Enrollment Transition Information (ETI) Form
• Exhibit 1620-12, Spouse Attendant Care Acknowledgement of Understanding Form
• Exhibit 1620-13, ALTCS Member Service Plan
• Exhibit 1620-14, ALTCS Member Contingency Back-Up Plan
• Exhibit 1620-15, Assisted Living Facility (ALF) Residency Agreement
• Exhibit 1620-16, Assisted Living Facility (ALF) Financial Change Agreement
• Exhibit 1620-17, HCBS Member Needs Assessment