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Home
Knowledge Base
Community
UDO/USO Documents (All Full-Service Medicaid Counties)
CPSEPortal
>
Medicaid Documentation
Dutchess County
Dutchess County UDO Accessibility Certification Form for
OT/PT
:
click here
Dutchess County UDO Accessibility Certification Form for
Speech
:
click here
Jefferson County
UDO Accessibility Form -
OT/PT:
click here
UDO Log for
OT/PT:
click here
UDO Accessibility Form -
Speech:
click here
UDO Log for
Speech:
click here
Livingston County
UDO Accessibility Form -
OT/PT:
click here
UDO Log for
OT/PT:
click here
UDO Accessibility Form -
Speech:
click here
UDO Log for
Speech:
click here
Nassau County
UDO Forms & Instructions (
OT/PT/ST
):
click here
USO Forms & Instructions (
Psychological Counseling
):
click here
UDO
Nursing
Forms & Instructions:
click here
Niagara County
Identification of Supervisor Form -
OT
Click here
Monthly Supervisory Case Notes -
OT
Click here
Identification of Supervisor Form -
PT
Click here
Monthly Supervisory Case Notes -
PT
Click here
Identification of Supervisor Form -
ST
Click here
Monthly Supervisory Case Notes -
ST
Click here
Rockland County
UDO Accessibility Form -
OT/PT:
click here
UDO Log for
OT/PT:
click here
UDO Accessibility Form -
Speech:
click here
UDO Log for
Speech:
click here
S A M P L E U D O F O R M S -
click here
(Samples of a completed Child Log & Accessibility Form)
Sullivan County
UDO Accessibility Form and UDO Log -
OT/PT
:
click here
UDO Accessibility Form and UDO Log -
Speech
:
click here
Ulster County
UDO Accessibility Form -
OT/PT:
click here
UDO Log for
OT/PT:
click here
UDO Accessibility Form -
Speech:
click here
UDO Log for
Speech:
click here
USO Accessibility Form -
Psychological Counseling
:
click here
USO Log for
Psychological Counseling
:
click here
Westchester County
UDO Accessibility Form -
Speech
:
click here
UDO Child Log -
Speech
:
click here
UDO Accessibility Form -
OT/PT
:
click here
UDO Child Log -
OT/PT
:
click here
UDO Accessibility Form -
Psychological Counseling
:
click here
UDO Child Log -
Psychological Counseling
:
click here
UDO Accessibility Form -
Skilled Nursing
:
click here
UDO Log -
Skilled Nursing
:
click here
UNDER THE DIRECTION OF SAMPLE FORMS - completed.pdf
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