This page has been archived and will not be updated after April 2026.
The following are for the implementation of the Community and Employment Support (CES) Waiver.
| File Name | Media Type |
|---|---|
| Social History Form Revised: 01/02/2018 | DOCX |
| CES-104 | Areas of Need Form | DOCX |
| CES-105 | Withdrawal Form | DOCX |
| CES-107 | Minimum Wage Change Form | XLSX |
| CES-108 | PCSP CSR Narrative Form | DOCX |
| CES-109 | Risk Assessment Form | DOCX |
| CES-110 | Pro-Rated Staff Worksheets | XLSX |
| CES-111 | Unable to Serve Form | DOCX |
| CES-115 | Recipient Change of Address Form | DOCX |
| CES-116 | Abeyance Monthly Report | DOCX |
| CES-703 | Waiver PCSP Forms | DOCX |
| CES Provider Application and Instructions Revised: 08/18/2021 | DOCX |
| CES Waiver Setting Requirements Guide |