Community Based Life Skills (CBLS) Program

Service Definition and Reimbursement

• Aging Statement - SAMPLE **NEW**
• DCF Discretionary Services Fee Schedule
• DCF Invoicing Requirements
• Region Specific Invoice Submission Guidelines
• Credentialed Provider Invoice (Excluding Transportation)
• Quick Reference Directory 2020

Application for Organizations

• Credentialing Application for Organizations

Application for Individual Providers

• Community Based Life Skills (CBLS)

Supervision Forms

• Individualized Skill Building Plan and Progress Report
• Supervision Guidelines
• Supervisory Agreement Template
• Supervision Note

Provider Agreement

• Community Based Life Skills (CBLS) Program **EFFECTIVE Dec. 15, 2017**