SCL Application
Applications are to be submitted in the Medicaid Waiver Management Application.
Level of Care (LOC) Determination Forms to Upload in MWMA
Prior Authorization of Person Centered Service Plan (PSCP) Forms to Upload in MWMA
Additional Forms and Tips To Use When Applicable
Emergency SCL Request Form (can only be used if already on the SCL waiting list)
All Medicaid (MAP) forms will continue to be found on the Department for Medicaid Services (DMS) SCL Web page under Forms in the right-hand column.