What we print in your state.
Two states publish a form for this, and only one of them makes you use it. The other forty-nine publish a rule about what a note has to contain and leave the page to you — so the useful question is not whether we “support” your state, it is whether the document we print cites the rule you are actually held to.
One state requires its own form
West Virginia’s provider manual says documentation must be completed on a Direct-Support Service Log (WV-BMS-IDD-7). We reproduce it, and say which revision. Texas publishes forms too — Form 4119 for residential support among them — but tells providers they may document any way that meets the requirements, so Texas gets its rule at the foot of the page instead.
26 states cite their own documentation rule
The rule is printed at the foot of every page, so a licensing specialist can check it. Somebody read each one and a script re-fetched the state’s own site to confirm both the rule number and a quotation from it.
Alaska
7 AAC 105.230.
Arkansas
Arkansas Medicaid Provider Manual, Section II — DDS Community and Employment Supports (CES) Waiver, § 202.100.
California
Cal. Code Regs. tit. 17, § 56026.
Florida
Fla. Admin. Code R. 59G-13.070, incorporating the DD iBudget Waiver Services Coverage and Limitations Handbook (May 2023).
Georgia
DBHDD Provider Manual for Community Developmental Disability Providers, FY2027 Q1, Part I.E (Individual Record) — progress notes and event notes.
Hawaii
Hawaiʻi 1915(c) HCBS Medicaid Waiver for Individuals with Intellectual and Developmental Disabilities, Waiver Provider Standards Manual § 3.10.A (Documentation Requirements for All Claims) and § 3.7.D (Maintenance of Participant Records).
Indiana
460 IAC 6-24-2 (with 460 IAC 6-17-2, 6-17-3 and 6-17-4).
Iowa
Iowa Admin. Code r. 441—24.4(4).
Kentucky
907 KAR 12:010, Section 4(15)(g)(2)(a).
Louisiana
Louisiana Medicaid Residential Options Waiver Provider Manual, Chapter 38, Section 38.8 (Record Keeping).
Maine
MaineCare Benefits Manual, 10-144 C.M.R. ch. 101, Ch. II § 21.09 (Member Records).
Massachusetts
115 CMR 4.00 (specifically 4.04(2)(a) Progress Notes; 4.03(2) General Requirements).
Mississippi
Miss. Admin. Code Title 23, Part 208, Rule 5.10.
Missouri
13 CSR 70-3.030(2)(A).
Nevada
Nevada Medicaid Services Manual (MSM) Chapter 2100, § 2103.2A(5).
New Hampshire
N.H. Code Admin. R. He-M 1001.08.
New Jersey
N.J.A.C. 10:44A-4.3(b); see also N.J.A.C. 10:44A-2.9.
New York
OPWDD Administrative Memorandum (ADM) #2014-01.
North Carolina
NC DHHS DMH/DD/SUS Record Management and Documentation Manual (APSM 45-2), Chapter 6 'Documentation and Service Notes'; underlying rule 10A NCAC 27G .0206.
Ohio
Ohio Administrative Code 5123-9-30(E).
Pennsylvania
55 Pa. Code § 6100.226; 55 Pa. Code § 6100.227.
Rhode Island
212-RICR-10-00-1, § 1.19.
South Carolina
SC DDSN Residential Habilitation Standards, RH8.0-RH8.1 (Documentation).
Texas
Texas HHSC, Home and Community-based Services (HCS) Program Billing Requirements, Sections 3810 (General Requirements), 3820 (Written Service Log and Written Summary Log), 3850 (Example Forms) and 4560 (Residential Support Subcomponent).
Virginia
12VAC35-105-680.
Wyoming
Wyoming Medicaid Rules, Chapter 45, Section 8 (Documentation Standards).
24 states print a general-purpose note
Either the state publishes no rule about note content, or what it publishes is about record retention or file contents rather than what a note must say. These print a complete, defensible note that makes no claim about your regulations — which is the honest output, and better than carrying a citation that would not survive being looked up.
Alabama
Daily Progress Note
Arizona
Daily Progress Note
Colorado
Daily Progress Note
Connecticut
Daily Progress Note
Delaware
Daily Progress Note
District of Columbia
Daily Progress Note
Idaho
Daily Progress Note
Illinois
Daily Progress Note
Kansas
Daily Progress Note
Maryland
Daily Progress Note
Michigan
Daily Progress Note
Minnesota
Daily Progress Note
Montana
Daily Progress Note
Nebraska
Daily Progress Note
New Mexico
Daily Progress Note
North Dakota
Daily Progress Note
Oklahoma
Daily Progress Note
Oregon
Daily Progress Note
South Dakota
Daily Progress Note
Tennessee
Daily Progress Note
Utah
Daily Progress Note
Vermont
Daily Progress Note
Washington
Daily Progress Note
Wisconsin
Daily Progress Note
Not sure which you are?
Open the demo, pick your state in Settings, and look at the printed page. It takes about a minute and asks you for nothing.
Open the demo →