Open PDF file, 420.13 KB,
DDS Licensure and Certification Procedures Manual
(English, PDF 420.13 KB)
Open PDF file, 1.57 MB,
Chart 1 - Licensure Applicability Chart (2022)
(English, PDF 1.57 MB)
Open DOCX file, 48.51 KB,
Chart 2 - Certification applicability chart (2022)
(English, DOCX 48.51 KB)
Open RTF file, 215.65 KB,
Chart 3 - Certification by service lists (2014)
(English, RTF 215.65 KB)
Open DOCX file, 339.36 KB,
Chart 4 - Licensure Tool (2022)
(English, DOCX 339.36 KB)
Open DOCX file, 184.43 KB,
Chart 5 - Certification Guidelines (2022)
(English, DOCX 184.43 KB)
Open PDF file, 85.39 KB,
Appendix A - Flow Chart for Surveys
(English, PDF 85.39 KB)
Open PDF file, 356.89 KB,
Appendix B - Sample Application L &C Packet
(English, PDF 356.89 KB)
Open PDF file, 230.18 KB,
Appendix C - Auditing and Sampling
(English, PDF 230.18 KB)
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Appendix D - Sample 45 Day Letter
(English, PDF 169.29 KB)
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Appendix E - Sample Email 1Day Letter
(English, PDF 109.4 KB)
Open PDF file, 176.15 KB,
Appendix F - Area Office Communications and Samples
(English, PDF 176.15 KB)
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Appendix G - Off Site Preparation Activities
(English, PDF 194.99 KB)
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Appendix H - Administrative Review Process Sheet (2023)
(English, PDF 824.68 KB)
Open DOCX file, 174.71 KB,
Appendix I - Residential Survey Worksheets 2022
(English, DOCX 174.71 KB)
Open DOCX file, 164.41 KB,
Appendix J - Day & Employment Worksheet 2022
(English, DOCX 164.41 KB)
Open PDF file, 181.56 KB,
Appendix K - Notice Immediate Action
(English, PDF 181.56 KB)
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Appendix L - DOL Worksheets
(English, PDF 88.97 KB)
Open PDF file, 363.92 KB,
Appendix M - Scoring Instructions
(English, PDF 363.92 KB)
Open PDF file, 197.5 KB,
Appendix N - Sample Provider Report
(English, PDF 197.5 KB)
Open PDF file, 255.83 KB,
Appendix O - Part 1 Follow up Process and Form
(English, PDF 255.83 KB)
Open PDF file, 125.07 KB,
Appendix O - Part 2 Routing Post 60 Day Licensing Follow-Up
(English, PDF 125.07 KB)
Open PDF file, 54.67 KB,
Appendix P - Mid Cycle Review Report Sample
(English, PDF 54.67 KB)
Open PDF file, 1.06 MB,
Appendix Q -Site Feasibility Approval to Occupy (2021)
(English, PDF 1.06 MB)
Open PDF file, 88.36 KB,
Appendix R - Initial Review
(English, PDF 88.36 KB)
Open PDF file, 407.35 KB,
Appendix S - Immediate Transfer Review and Sample
(English, PDF 407.35 KB)
Open PDF file, 23.35 KB,
Appendix T - Disaster Protocol (June2021)
(English, PDF 23.35 KB)
Open PDF file, 313.85 KB,
Appendix U - Waivers (2021)
(English, PDF 313.85 KB)
Open PDF file, 22.52 KB,
Appendix V - Conflict of Interest and Confidentiality (June2021)
(English, PDF 22.52 KB)
Open PDF file, 254.42 KB,
Appendix W - Targeted Review and Self-Assessment Process
(English, PDF 254.42 KB)