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Universal Consent Addendum for PHA Sharing | HSH
Learn how ICMS case managers can complete, document, and record the Universal Consent Addendum for PHA Sharing in CHAMP, including participant consent and PHA housing information sharing.
TLS and Shallow Subsidy Program
Provider guidance for the TLS and Shallow Subsidy program for FY 2026-27. Find required action items, key dates, office hours, and contacts in one place.
HACLA/LACDA Announce Successful EHV to HCV Transition
Details on the successful transition of all eligible EHV households into the HCV program.
ICMS Billing Rate Designations and Multifactorial Analysis
A complete guide to how ICMS billing rates are designated, how the multifactorial analysis works, and what case managers can do to support accurate billing rate designations.
CHAMP Cheat Sheet: Permanent Housing ICMS
Quick-reference guide covering CHAMP documentation requirements, the Assess-Plan-Support service cycle, and key CHAMP record sections.
CHAMP Eligible Services Guide for ICMS Providers
Learn how to accurately document Eligible Services in CHAMP for Permanent Housing ICMS. Explore service categories, documentation tips, billing reminders, and best practices for meeting monthly program requirements.
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Forms
Alternate Housing Voucher Request
Request to use a different housing subsidy or voucher type for a participant.
Enrollment Request (ICMS)
Request enrollment of a participant into the ICMS program.
Exit Request (ICMS)
Request exit of a participant from the ICMS program.
CBEST Referral
Refer a participant for CBEST disability benefits enrollment and advocacy services.
CENS Referral
Refer a participant for CENS substance use screening and care navigation services.
FSP (Full Service Partnership) Referral
Refer a participant for Full Service Partnership mental health services through DMH.
HSSP Referral
Enroll ICMS participants in the DMH Housing Supportive Services Program (HSSP).
DMH Mental Health Services Universal Referral
Identify mental health needs and make DMH referrals for ICMS participants.
PH² Referral
Refer high-risk ICMS participants to the PH² clinical support program.
Caregiving Applications and Forms
Initiate IHSS or IHCG assessment and caregiving services for a participant.
In-Home Caregiving (IHCG) Request
Start In-Home Caregiving (IHCG) services for ICMS participants.
Enriched Residential Care (ERC)
Physician reports required for Enriched Residential Care placement referrals.
Universal Information Sharing Consent
Consent forms, samples, and CHAMP recording guides for participant information sharing.
Notice of Privacy Practices
Privacy notices, acknowledgement forms, and CHAMP recording guidance.
CalAIM Community Supports Opt-In
Opt-in scripts and CHAMP recording guidance for CalAIM Community Supports.
FHSP General Assistance Request
Policy and funding request forms for Brilliant Corners FHSP General Assistance.
Housing Quality Inspection
Inspect housing quality and document unit conditions at move-in and move-out.
Moving / Relocation Checklists
Checklists to guide participant relocation between housing types.
CHAMP User Profile Request
Request CHAMP access, plus documentation, service recording, and budget tracking guides.
Invoice Change Request
Request a correction or change to a submitted ICMS invoice.
Incident Report
Report critical incidents involving ICMS participants or program operations.
ICMS Assessment Tools
ICMS case managers are required to complete two quarterly assessments for enrolled participants. Both tools are available for download below.