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Medicaid Forms: Maine Day Treatment Programs

The following forms make up the main section of the Maine Day Treatment Program Packet. Other packets and forms can be accessed through the links to corresponding programs at the right.

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Day Treatment Program Director's Packet
District Information Form
DT Attendance Memorandum
DT Attendance Report Sample
DT Attendance Report
DT Additions Report
DT Deletions Report
DT Additions & Deletions Report
DT Overview
DT Services Summary
DT Identification Process
DT Treatment Identification Step by Step
Step by Step Guide for Day Treatment Districts
Commonly Asked Questions
DT Program Approval Form
DT PET Referral
Student File Form
Student File Form Sample
Certification Requirements (Professionals)
Certification Requirements (Other Qualified Staff)
Employee Training Report (OQMHP)
ISP Form
ISP Form Sample
ITP Form
ITP Form Sample
Quarterly Progress Form
Quarterly Progress Form Sample
Monthly Progress Form
Monthly Progress Form Sample
Daily RA Developmental Therapy Form
Daily Developmental Therapy Sample
Cost Analysis
Consent Form
DT Audit Checklist
Record Keeping Requirements
Day Treatment Regulations

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