If a member is needing document(s) in Braille, please reach out to your PR Consultant.*
English
Required letters:
- 8.22 Intro Letter SB 10-2024
- 8.25 Care Plan Cover Letter SB 10-2024
- 8.30 CM Change Letter SB 10-2024
- Refusal Member Support Plan Letter SB 10-2024
- UTR Member Support Plan Letter SB 10-2024
- Member Service Change Signature Cover Letter SB 11-22-2024
- General Unable-to-Reach-Letter-SB 10-2024
Optional letters:
Hmong
Required letters:
- 8.22 CM Intro Letter SB Hmong 10-2024
- 8.25 Care Plan Cover Letter Hmong SB 10-2024
- 8.30 CM Change Letter SB Hmong 10-2024
- Refusal Member Support Plan Letter SB 10-2024_Hmong
- UTR Member Support Plan Letter SB 10-2024_Hmong
- General Unable-to-Reach-Letter-SB 11-20-2023_Hmong
Optional letters:
Karen
Required letters:
- 8.22 Intro Letter SB Karen 10-2024
- 8.25 Care Plan Cover Letter Karen SB 10-2024
- 8.30 CM Change Letter SB Karen 10-2024
- Refusal Member Support Plan Letter SB 10-2024_Karen
- UTR Member Support Plan Letter SB 10-2024
- General Unable-to-Reach-Letter-SB 10-2024_Karen
Optional letters:
Laotian
Required letters:
- 8.22 Intro Letter SB Laotian 10-2024
- 8.25 Care Plan Cover Letter SB Laotian 10-2024
- 8.30 CM Change Letter SB Laotian 10-2024
- Refusal Member Support Plan Letter SB Laotian 10-2024
- UTR Member Support Plan Letter SB Laotian 10-2024
- General Unable-to-Reach-Letter SB Laotian 10-2024
Optional letters:
Russian
Required letters:
- 8.22 Intro Letter SB Russian 10-2024
- 8.25 Care Plan Cover Letter SB Russian 10-2024
- 8.30 CM Change Letter SB Russian 10-2024
- General Unable-to-Reach-Letter- SB Russian 10-2024
- Refusal Member Support Plan Letter SB Russian 10-2024
- UTR Member Support Plan Letter SB Russian 10-2024
- General Unable-to-Reach-Letter- SB Russian 10-2024
Optional letters:
Somali
Required letters:
- 8.22 Intro Letter SB Somali 10-2024
- 8.27 Advance Directive Cover Letter SB Somali 10-2024
- 8.30 CM Change Letter SB Somali 10-2024
- Refusal Member Support Plan Letter SB Somali 10-2024
- UTR Member Support Plan Letter SB Somali 10-2024
- General Unable-to-Reach-Letter-Somali SB 10-2024
Optional letters:
Spanish
Required letters:
- 8.22 Intro Letter SB Spanish 10-2024
- 8.25 Care Plan Cover Letter Spanish SB-10-2024
- 8.30 CM Change Letter SB Spanish 10-2024
- Refusal Member Support Plan Letter Spanish SB 10-2024
- UTR Member Support Plan Letter Spanish SB 10-2024
- General Unable-to-Reach-Letter- Spanish SB 10-2024
Optional letters:
Vietnamese
Required letters:
- 8.22 Intro Letter SB Vietnamese 10-2024
- 8.25 Care Plan Cover Letter Vietnamese SB 10-2024
- 8.30 CM Change Letter SB Vietnamese 10-2024
- Refusal Member Support Plan Letter Vietnamese SB 10-2024
- UTR Member Support Plan Letter Vietnamese SB 10-2024
- General Unable-to-Reach-Letter Vietnamese SB 10-2024
Optional letters:
English
- 8.22 Intro Letter SB 10-2024
- 8.30 CM Change Letter SB 10-2024
- 8.35 NH ICF Visit Summary Letter SB 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter SB 10-2024
- Document Request Letter SB 10-2024
Hmong
- 8.22 Intro Letter SB Hmong 10-2024
- 8.30 CM Change Letter SB Hmong 10-2024
- 8.35 NH – ICF Visit Summary Letter Hmong SB 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter Hmong SB 10-2024
Karen
- 8.22 Intro Letter SB Karen 10-2024
- 8.30 CM Change Letter SB Karen 10-2024
- 8.35 NH ICF Visit Summary Letter Karen SB 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Ltr SB Karen 10-2024
Laotian
- 8.22 Intro Letter SB Laotian 10-2024
- 8.30 CM Change Letter SB Laotian 10-2024
- 8.35 NH ICF Visit Summary Letter SB Laotian 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter SB Laotian 10-2024
Russian
- 8.22 Intro Letter SB Russian 10-2024
- 8.30 CM Change Letter SB Laotian 10-2024
- 8.35 NH ICF Visit Summary Letter SB Laotian 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter SB Laotian 10-2024
Somali
- 8.22 Intro Letter SB Somali 10-2024
- 8.30 CM Change Letter SB Somali 10-2024
- 8.35 NH ICF Visit Summary Letter SB Somali 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter Somali-10-2024
Spanish
- 8.22 Intro Letter SB Spanish 10-2024
- 8.30 CM Change Letter SB Spanish 10-2024
- 8.35 NH ICF Visit Summary Letter Spanish SB 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter Spanish SB 10-2024
Vietnamese
- 8.22 Intro Letter SB Vietnamese 10-2024
- 8.30 CM Change Letter SB Vietnamese 10-2024
- 8.35 NH ICF Visit Summary Letter Vietnamese SB 10-2024
- 8.35.01 Responsible Party UTR NH-ICF Visit Summary Letter Vietnamese SB 10-2024