Nevada Aging and Disability Services Division


Cover Page and Foreword
Table of Contents
	I.	Introduction and Background
	II.	Framework for Nevada ADRC
	III.	Required Functions and Program Components
	IV.	Publicly Funded Programs Information and Links
	V.	Operational Definitions and Acronyms
	VI.	Appendices
		A.	Own Your Future Campaign - Planning Guide for Long-Term Care
		B.	ADRC Service Specifications
		C.	Older Americans Act General Requirements Service Specifications
		D.	Community Partner Agreement
		E.	Client Registration Form
		F.	Notice of Privacy Practices
		G.	SAMS ADRC Desk Manual and SAMS User's Guide
		H.	Data Tracking Tool (DTT) and Form Instructions
		I.	Nevada Care Connection Training Modules
		J.	ADRC Site Meeting Expectations
		K.	Consumer Intake Survey (CIS)
		L.	Follow-Up Consumer Intake Survey (FCIS)
		M.	ADSD Instructions and Referral Form No. CBC-102
		N.	Senior Rx Annual Eligibility (AE) Requirements Page 2
		O.	Senior Rx Annual Eligibility (AE) Form Letter
		P.	Senior Rx Benefit Explanation Form Letter
		Q.	Senior Rx FAQs, Eligible and Not Eligible QA
		R.	Disability Rx Disability Verification Form
		S.	Elder Protective Services (EPS), Nevada Revised Statute (NRS) 200
		T.	EPS ADRC Referral Form Instructions

Questions or Comments for the Aging and Disability Services Division?
Please contact a Regional Office.
We look forward to speaking with you!

Last Updated: 05/16/2012