Form S109 Participant Request for Additional Supports Above Service Tier Package Authorization - Rhode Island

What Is Form S109?

This is a legal form that was released by the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form S109?
A: Form S109 is a Participant Request for Additional Supports Above Service Tier Package Authorization for Rhode Island.

Q: What is the purpose of Form S109?
A: The purpose of Form S109 is to request additional supports above the service tier package authorization.

Q: Who can use Form S109?
A: Participants in Rhode Island can use Form S109 to request additional supports.

Q: What kind of additional supports can be requested using Form S109?
A: Form S109 can be used to request additional supports above the service tier package authorization.

Q: Is there a fee associated with submitting Form S109?
A: There may be fees associated with the additional supports requested using Form S109. Please check the instructions or contact the relevant department for more information.

Q: What should I do after submitting Form S109?
A: Upon submitting Form S109, you will need to wait for a response from the relevant department. They will inform you about the status of your request and any further actions that need to be taken.