PDF
Word
Form IDD-15 Request for Day Habilitation Setting Exception - Alaska
What Is Form IDD-15?
This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is IDD-15?
A: IDD-15 is a form used to request a day habilitation setting exception in Alaska.
Q: What is a day habilitation setting exception?
A: A day habilitation setting exception is a request to deviate from the standard service setting for individuals with intellectual or developmental disabilities.
Q: Who can use the IDD-15 form?
A: The IDD-15 form is used by individuals or their representatives, case managers, or service providers to request a day habilitation setting exception.
Q: What information is required on the IDD-15 form?
A: The IDD-15 form requires information such as the individual's name, Medicaid number, current service setting, reason for the request, and supporting documentation.
Form Details:
- Released on January 3, 2020;
- The latest edition provided by the Alaska Department of Health and Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form IDD-15 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
