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------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" New Choices Waiver Case Manager Training
New Choices Waiver
A= dult Residential Service Provider Training
(= Assisted and Independent Living Providers)
Presented= By:
Utah Division of Medicaid and Health Financing
Long Term Care Bureau
2011
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New Choices Waiver Purpose
=
oAssist eligible individuals to receive services in the home or community based setting of their choice
nAssisted Living Facilities
nIndependent Living Facilities
nOwn Homes
nFamily Member’s Homes
nSenior Communities&#= 13;
o<= span style=3D'mso-special-format:lastCR;display:none'>
------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/master51_image003.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlh/gFgAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAAAAAD9 AV4AhAAAAAAAAAgHBQQAAAYGBA0NCAoHBQgAAAgIBQkHBQYAAAMAABQBAQwAAAMDAgwMCAIAADMA ADgAADAwIDY2JEwAAExMM1ZWOV9fQGYAAJmZZgECAwECAwECAwECAwECAwX/IGGNZGmeaKqubOu+ cCzPdG3feK7vfO//vIkgQiwaiQNAQcNsOp/QqHRKrVqv2Kx2y+16v+CweEwum8/oMsaQabvf7YMy Ta/b7/i8fs/v+/9Va3CDGXJLgIiJiouMjY6PkFCChG+GkZeYmZqbnJ10k5Rxc56kpaanqKl4oKGW qq+wsbKznqyUrrS5uru8vWO2hLi+w8TFxrPAg8LHzM3Oz4vJcMvQ1dbX2GDSlaPZ3t/g4dtucggX 5+jp6uvs7e7v8PHy8/T19vf4+fr7/P3+/wADChwIkEKCCggTKkSoAMACBhAjSpxIsaLFixgzatzI saPHjyBDihxJsqTJkyhT/6pcyTJlAwcBYsqcGdMBgAOhcurcybOnz59AgwodSrSo0aNIkypdyrSp 06cSHlgpcPOp1atYs2rdyrWr169gv0adWjWs2bNo06pdy7at20Fjq1DF+bau3bt48+rd6zQulbl8 AwseTLiwYa1+pwA+zLix48eQ+SaWsjiy5cuYM2tGOjkKVQg0Q4seTbq06dOoU6tezbq169ewY8ue Tbu27du4c+sWDdO0TQDAgwsfTry48ePIkytfzry58+fQo0ufTr269evYs2vfzr279+/gw4sfT768 +fPo06tfz769+/fw48ufT7++/fv48+vfz7+///8ABijggAQWaOCBCCao4P+CDDbo4IMQRijhhBRW aOGFGGao4YYcdujhhyCGKOKIJJZo4okopqjiiiy26OKLMMYo44w01mjjjTjmqOOOPPbo449ABink kEQWaeSRSCap5JJMNunkk1BGKeWUVFZp5ZVYZqnlllx26eWXYIYp5phklmnmmWimqeaabLbp5ptw xinnnHTWaeedeOap55589unnn4AGKuighBZq6KGIJqrooow26uijkEYq6aSUVmrppZhmqummnHbq 6aeghirqqKSWauqpqKaq6qqsturqq7DGKuustNZq66245qrrrrz26uuvwAYr7LDEFmvsscgGGUBw ywLXLADPRsvstM5SC61LtdJWq+2122bL7bfehovtuN2SC6654par7rnrpsvuu+7Gi+687dILr73y 1qvvvfvmy++//gaMb3a7FWzwwQgnrPDCDDfs8MMHLxcCADs= ------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/slide0030.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" New Choices Waiver Case Manager Training
Who is Eligible to Apply?
=
oMedicaid stay
<= span style=3D'font-size:86%'>1.Is age 21 or older
<= span style=3D'font-size:86%'>2.Meets nursing facility level of care
<= span style=3D'font-size:86%'>3.Is Utah Medic= aid eligible
= 4.Is currently residing in a Medicaid certified nursing facility for at least 90 days (ex. Hospital and/or nursing facility)
<= span style=3D'font-size:86%'>5.Does not meet “Intensive Skilled” level of care
<= span style=3D'font-size:86%'>6.Does not meet ICF/MR level of care
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Eligibi= lity Continued
=
oMedicare stay
o&#= 13;
= 1.Must meet all criteria stated in the previous slide except item #4, and
= 2.Is currently = on a Medicare stay and residing in a Medicare certified facility that is not an Institution for Mental Disease for at least 30 days and
= 3.Will discharg= e to a Medicaid certified nursing facility for at least sixty days, absent waiver services.
o
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Eligibi= lity Continued
q =
qCurrent Waiver Participants &= #13;
§
§= Currently receiving Medicaid reimbursed services from another Medic= aid 1915 (c) Waiver
§= Has been identified as in need of immediate or impending nursing facility care if not for the services of the New Choices Waiver
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Application and Enrollment Process
=
nApplicant or person making the referral contacts    Vicki Ruesch or Blake Minardi with the Long Term Care Bureau (LTCB)   
nLTCB determines initial eligibility and sends application packet
nWhen completed packet is returned, LTCB refers to case management agency= of applicant’s choice
nCase management agency RN and social worker team evaluate applicant to determine level of care (LOC) and appropriateness of availab= le settings 
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Application and Enrollment Process <= span style=3D'font-size:91%'>Continued
=
=
<= span style=3D'mso-special-format:bullet;color:#999966;mso-color-index:5;positio= n: absolute;left:-5.33%;font-family:Wingdings'>§Case manager sends LOC document to LTCB
§If applicant does not meet nursing facility level of care, he or she = is not eligible  
§Case manager assists approved applicants with placement
<= span style=3D'mso-special-format:bullet;color:#999966;mso-color-index:5;positio= n: absolute;left:-6.32%;font-family:Wingdings'>§Rental agreement = sent to LTCB
§LTCB submits rental agreement and 927 to Division of Workforce Services Eligibility
<= span style=3D'visibility:hidden'>o
<= span style=3D'visibility:hidden'>o
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Enroll= ment Process Continued
=
=
§Workforce Services determines financial eligibility and returns 927 to LTCB
§LTCB notifies case management agency of applicant’s approval to begin services on the first of the upcoming month
§Case management ag= ency sends you (adult residential service provider) a Service = Authorization Form -
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Service Authorization Form Includes:
=
=
§The HCPC billing code
§The name of the authorized service = ;
§The number of units authorized
§The service start and end dates
§The frequency of service authorized e.= g., daily
§Participant billing information
§Case management agency signature 
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Example Service Authorization Form
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Service Authorizatio= n Form Continued
=
=
o&= #13;
oDo not provid= e any services unless you have received a current Service Authorization Form from the responsible Case Management Agency.  This form= must be signed by the participant’s case manager and the service provider
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A WORD OF CAUTION
=
=
§All New Choic= es Waiver participants will have a New Choices Waiver Case Management Agency
§Individuals or family members who tell you they are approved for the program will be able to give you the name of their Case Management Agency
§Speak to the = New Choices Waiver Case Manage= ment Agency representative
§Please do not assume someone has been accepted to the waiver simply because they have a Medicaid card
<= span style=3D'font-size:88%;visibility:hidden'>o
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A Word= of Caution Continued
=
=
&se= ct;Do not allow anyone to move into your facility or = provide any services unless you have received a service authorization form for that individual fro= m the New Choices Waiver Case Management Agency
&se= ct;Never provide services without a current service <= /span>authorization form
§When in doubt call New Choices (LTCB) directly
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Attachm= ent A
nAttachment A is completed as part of the <= /span>New Choices Waiver provider enrollment process.  <= /span>It is not a service authorization <= /span>form for an individual participant<= span style=3D'font-size:86%'>
n&= #13;
oIdentifies the serv= ices you are applying to provide
oIdentifies the county in which you are able to provide services
n
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Attachm= ent A Continued
=
=
qThe name of your facility or company is added to the list of providers organized <= /span>by county and service from which participants can choose
o
qAssis= ted living facilities are eligible to enroll to provide day care and respite services, in addition to residential services
<= span style=3D'font-size:113%;visibility:hidden'>q
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Residential Service Providers <= /span><= span style=3D'font-size:91%'>Responsibilities
=
qWhat services am I responsible to provide to New Choices Waiver participants?
nAll of the services that you normally provide for your private pay residents, in accordance with you= r facility licensure including, in part: =
<= span style=3D'font-size:88%'>nService planni= ng and coordination
nAssistance in arranging access for medical or dental care, through the following methods:
<= span style=3D'font-size:86%'>nNotifying the participant and/or their representative
<= span style=3D'font-size:86%'>nArranging for transportation
<= span style=3D'font-size:86%'>nArranging for = home visits by health care professionals;
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Residential Service Providers <= span style=3D'font-size:91%'>Responsibilities
=
&sec= t;In addition to the services you provide to private pay residents, y= ou must provide all services agreed to in:
n         = ;            Attachment B
n        = ;            &n= bsp;  Special Provisions
= n     Responsibilitie= s of Adult Residential Services Providers Under the New Choices Home and Community Based Services Waiver <= /b>
n
o<= span style=3D'mso-special-format:lastCR;display:none'>
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Residential Service Providers <= span style=3D'font-size:91%'>Responsibilities – Attachment B
=
o Attachment = B is signed and submitted by each Adult Residential Service provider as part of the = New Choices Waiver provider enrollment = process. =   Following are some of the provisions agreed to:
§Provide assistance with ADLs in accordance with fa= cility licensure and New Choices Waiv= er care plan
§Provide housekeeping services, including personal laundry
§Operate in accordance with all established federal= and state requirements applicable to facility licensur= e
o<= span style=3D'font-size:88%;mso-special-format:lastCR;display:none'>
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Residential Services are Medicaid <= span style=3D'font-size:91%'>Covered Services
=
=
qAll of the serv= ices provided under the waiver are Medicaid covered services.  As such, t= he payment from Medicaid constitutes payment in full. The following laws and agreements apply to Medicaid covered services:
o
o   = ;  42 CFR Sec. 447.15 Acceptan= ce of State payment as pay= ment in full, states that the Medicaid agency must limit partici= pation in the Medicaid program to providers who accept, as payment in full, the amounts paid by the agency…
o
o
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Medicaid Covered Services
=
=
oThe Provider Agreement for Medicaid and UMAP, Section II.8, Prohibition on Billing Recipient, states = that the Provider will accept payment or claims adjudication from= the Department as payment in full for services rendered…
o
oThis agreement is signed by each provider and submitted upon enrollment as a New Choices Waiver provider<= span style=3D'mso-spacerun:yes'> 
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Medicaid Covered Services
=
o
oFinally, Attachment B states the following:
n(Provider will) Accept the Medicaid reimbursement rate as payment in full for a Medicaid covered service. (15)
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Medicaid Covered Services
=
=
qThis means that Medica= id providers cannot bill participants or their families any additional fees for any Medicaid covered service included in Attachment B or required through Health Facility Licensing
<= span style=3D'color:red'>&uu= ml;No additional fees for personal laundry
<= span style=3D'color:red'>&uu= ml;No “Diet Monitoring Convenience Fees” = ;
<= span style=3D'color:red'>&uu= ml;No incontinence or showering fees &= #13;
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Room and Board – Not a Medicaid = <= span style=3D'font-size:91%'>Covered Benefit
=
=
qFacilities = are responsible for establishing room and board rates, and they are = paid directly to the facility by the individual waiver participant or their representative.  Med= icaid is not responsible for payment of room and board
qCharges directly attributable to room and board, such as deposits,= are the participant’s responsibility
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Attachment B Requirements
Communication with CMAs<= /span>
=
=
q
q
oWork with the participant’s Case Management Agency to resolve concer= ns that may arise and in order to coordinate third party services.
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Attachment B Requirements
Notifying Case Management Agenc= ies
=
=
oAlways notify the participant’s case manager if:
oThe participan= t has left the facility, e.g. hospitalization or nursing facility admission and return, overnight visits or vacations
oYou have conce= rns regarding participant safety and/or believe that their needs can no longer be met at the facility
oThe participan= t has been involved in a negative incident
o
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Attachment B Requirements
Incident Reporting
=
oNotify the case management agency within 24 hours of any negative incident involving the participant: =
o
nAny injury requiring professional medical attentio= n or hospitalization
<= span style=3D'font-size:96%'>nA pattern of f= alls resulting in injury
<= span style=3D'font-size:96%'>nInvolvement in= a fight or physical confrontation
nAny medication or treatment error resulting in marked adverse side effects
<= span style=3D'visibility:hidden'>n
<= span style=3D'visibility:hidden'>o
<= span style=3D'visibility:hidden'>o
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Incident Reporting Continued
=
n&= #13;
nInvolvement in illicit drug use, intentional misuse of prescription medications or chronic intoxication
nInvolvement in= any other situation or circumstance that affects the participant’s  health, safety or well being
nSuspected abuse, neglect or exploitation 
nAny human righ= ts violation such as the unaut= horized use of physical or chemical restraint
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Incident Reporting Continued
=
o
nSuspected Medicaid Fraud
nAny aspiration or choking incident that results in the administrati= on of the Heimlich Maneuver, emergency medical intervention, and/= or hospitalization
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Incident Reporting Continued
=
oUsing the New Choices Waiver Incident Report Form, document acti= ons taken and submit report to the participant’s Waiver Case Management Agency within 24 hours of the incident, include:
nImmediate actions taken
= nAny actions taken to avoid further incident or injury
n
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Incidents that are Critical
=
oNotify New Cho= ices Waiver Policy Specialist, as well as the Waiver Case Management Agency imme= diately by telephone, fax or email of any of the following incidents:
nUnexpected or accidental death of participant = ;
nSuicide attempt
nA waiver participant is missing 
nLaw enforcement involvement
nIncidents/even= ts that are anticipated to receive media, legislative or other public scrutiny. <= /span>
oA written repo= rt is due within 24 hours of verbal notification
o
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Incident Reporting Continued
=
=
o&= #13;
oReport any actual or suspected incidents of abuse, neglect, or exploitation of a waiver participant/vulnerable adult to Adu= lt Protective Services or local law enforcement (UCA 62-A-3-301) and be = sure to follow-up with an incident report to the Case Management Agency.
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Provider Manual
=
=
oPlease see manual or Website:
o&= #13;
ohttp://health.utah.= gov/ltc/NC/NCHome.htm
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Adult Residential Service Rates
=
=
oPlease see Rate Tab= le or Website:
o&= #13;
ohttp://health.utah.= gov/ltc/NC/Home.htm
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Billi= ng Adult Residential Services
=
=
oOnly days and nights spent in the facility can be billed
oHospital or nursing facility stays, overnight visits or vacations canno= t be billed
oIf a participant moves from one facility to another the facility the participant is moving FROM bills for moving day  
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Billing Methods
=
<= span style=3D'font-size:88%'>oPaper Claim &#= 13;
<= span style=3D'font-size:86%'>nCMS 1500 <= /span>
<= span style=3D'font-size:86%'>nPreprinted for= m
nThere are different vendors that have software to complete these forms <= /span>
nNOTE: All Medicaid paper claims must be sent via t= he U.S. Postal Service.
<= span style=3D'font-size:86%;visibility:hidden'>n
<= span style=3D'font-size:88%'>oElectronic Claim
<= span style=3D'font-size:86%'>nElectronic for= mat of the CMS 1500
<= span style=3D'font-size:86%'>nAll claims pass through UHIN
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Billing and Payment Information
=
=
oProviders can only bill for services they have already provided
oProviders can only bill for services that they have been authorized to provide
oProviders must use the correct HCPCS Coding
oProviders must enter the correct waiver code into the procedure code modifier box – U8
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Timely Filing of Medicaid Claims
=
=
qAll claims and adjustments for services must be received by Medicaid within twelve months from the= date of service.&= nbsp; New claims received past the one year filing deadline will be denied. 
qAny corrections to a claim must also be received and/or adjusted within the same 12 month timeframe.  If a correction is received after the deadline, no additional funds will be reimbursed.&= #13;
qThe one year timely filing period is determined from the date of service or “from” date on = the claim. 
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Billing Timelines
=
=
oProviders determine how often they bill
oAll claims = and adjustments for services must be = received by Medicaid within twelve months from the= date of service
oClaims are processed weekly
oPaper claims m= ust be received by Tuesday to be processed that week
oElectronic cla= ims must be received by Thursday at 5:00 PM to be processed that week
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Denied Claims
=
=
oProblems and/or errors will need to be resolved with DOH Medicaid Operations
o
oIf a claim has been denied for incorrect information, correct the claim and resubmit it, rather than calling Medicaid Operations
o
oUntil the claim is billed correctly, it cannot be processed 
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Payment= s
=
=
oProviders will receive payment directly from Medicaid
oWeekly EFT 
oOccurs on the second business day of the week
oNormally Tuesday except for weeks with Monday holidays
o
o<= span style=3D'mso-special-format:lastCR;display:none'>
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Additional Billing Information
=
§
&sec= t;Services and Supplies the New Choices Waiver will not pay for:
o
&sec= t;Supplies or services that the Medicaid State Plan or any other source pays = for, e.g. incontinence supplies
o
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Utah Health Information Network
=
o&= #13;
oContact UHIN to set up account and get your trading number:
o
oWebsite: http://www.uhin.com
oPhone: (801) 466-7705
oFax:= (801) 466-7169
o&= #13;
o<= span style=3D'mso-special-format:lastCR;display:none'>
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Medica= id Contact Information
=
<= span style=3D'font-size:64%'>nIn the Salt= Lake City area, call 801-538-6155.
n
n In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call toll-free 1-800-662-9651. <= /span>
n
n From other states, call 1-801-538-6155.

Medicaid Custom= er Service staff are available to take your calls: Monday through Thursday   7:00 a.m. - noon= and 1:00 p.m. - 6:00 p.m= .  (Thursday morning, hours are 11:00 a.m. - noon)
n
<= span style=3D'font-size:64%'>nFAX Line: (= 1-801) 538-6805
<= span style=3D'font-size:64%'>nOr mail to Medicaid Claims:
n <= /span>Department of Health
Division of Medicaid and He= alth Financing
P.O. Box 143106
Salt Lake City UT 84114-310= 6
n
nNOTE: All Medicaid paper claims must be sent via the U.S. Postal Service.
<= span style=3D'font-size:56%;visibility:hidden'>o
<= span style=3D'font-size:50%;visibility:hidden'>o
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New Choices Waiver Contacts
=
<= span style=3D'font-size:54%'>nVicki Ruesch&#= 13;
n (801) 538-6148
n
<= span style=3D'font-size:54%'>nBlake Minardi&= #13;
n (801) 538-6497
<= span style=3D'font-size:29%;visibility:hidden'>n
<= span style=3D'font-size:54%'>nTrecia Carpenter
n         (801) 538-6861
n
<= span style=3D'font-size:54%'>nJason Stewart&= #13;
n (801) 538-9144
n
<= span style=3D'font-size:54%'>nEmail: = = NewChoicesWaiver@utah.gov
o
<= span style=3D'font-size:54%'>nFax: 801-323-1586
o
<= span style=3D'font-size:54%'>nWebsite: <= /span>
n http://health.utah.gov/ltc/N= C/NCHome.htm
<= span style=3D'font-size:56%;visibility:hidden'>o
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Click to edit Master text styles
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file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/script.js Content-Transfer-Encoding: quoted-printable Content-Type: application/javascript; charset="us-ascii" function LoadSld() { var sld=3DGetObj("SlideObj") if( !g_supportsPPTHTML ) { sld.style.visibility=3D"visible" return } if( MakeNotesVis() ) return runAnimations =3D _InitAnimations(); if( IsWin("PPTSld") ) parent.SldUpdated(GetSldId()) g_origSz=3DparseInt(SlideObj.style.fontSize) g_origH=3Dsld.style.posHeight g_origW=3Dsld.style.posWidth g_scaleHyperlinks=3D(document.all.tags("AREA").length>0) if( g_scaleHyperlinks ) InitHLinkArray() if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) ) document.body.scroll=3D"no" _RSW() if( IsWin("PPTSld") && parent.IsFullScrMode() ) FullScrInit(); =09 MakeSldVis(); ChkAutoAdv() if( runAnimations ) { if( document.all("NSPlay") ) document.all("NSPlay").autoStart =3D false; if( sld.filters && sld.filters.revealtrans ) setTimeout( "document.body.start()", sld.filters.revealtrans.duration * = 1000 ); else document.body.start(); } } function MakeSldVis() { var fTrans=3Dg_showAnimation && SldHasTrans() if( fTrans ) { if( g_bgSound ) { idx=3Dg_bgSound.indexOf(","); pptSound.src=3Dg_bgSound.substr( 0, idx ); pptSound.loop=3D -(parseInt(g_bgSound.substr(idx+1))); } SlideObj.filters.revealtrans.Apply() } SlideObj.style.visibility=3D"visible" if( fTrans ) SlideObj.filters.revealtrans.Play() } function MakeNotesVis() { if( !IsNts() ) return false SlideObj.style.display=3D"none" nObj =3D document.all.item("NotesObj") parent.SetHasNts(0) if( nObj ) { nObj.style.display=3D"" parent.SetHasNts(1) } return 1 } function ChkAutoAdv() { if(SldHasTrans()) SlideObj.onfilterchange=3DAutoAdv else AutoAdv() } function AutoAdv() { if(!IsWin("PPTSld") || !gUseSldTimings )return var sld=3DGetCurSld() if( (sld.mAdvDelay>0) && !parent.IsFramesMode() ) setTimeout("parent.GoToNextSld()",sld.mAdvDelay) } function GetObj(id) { if(g_supportsPPTHTML) return document.all(id); else return document.getElementById(id); } function SldHasTrans() { return SlideObj.style.filter !=3D ""; } function GetSldId() { return sId=3Dlocation.href.substring(location.href.la= stIndexOf('/')+1) } function HideMenu() { if( frames["PPTSld"] && PPTSld.document.all.item("ctx= tmenu") && PPTSld.ctxtmenu.style.display!=3D"none" ) { PPTSld.ctxtmenu.styl= e.display=3D'none'; return true } return false } function IsWin( name ) { return window.name =3D=3D name } function IsNts() { return IsWin("PPTNts") } function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) } function SupportsPPTAnimation() { return( navigator.platform =3D=3D "Win32"= && navigator.appVersion.indexOf("Windows")>0 ) } function SupportsPPTHTML() { var appVer=3Dnavigator.appVersion, msie=3DappVer.indexOf("MSIE "), ver=3D0 if( msie >=3D 0 ) ver=3DparseFloat( appVer.substring( msie+5, appVer.indexOf(";",msie) ) ) else ver=3DparseInt(appVer) return( ver >=3D 4 && msie >=3D 0 ) } function _RSW() { if( !g_supportsPPTHTML || IsNts() || ( !g_scaleInFrame && (!IsWin("PPTSld") || !parent.IsFullScrMode()) ) ) return var padding=3D0; if( IsWin("PPTSld") && parent.IsFramesMode() ) padding=3D6 cltWidth=3Ddocument.body.clientWidth-padding cltHeight=3Ddocument.body.clientHeight-padding factor=3D(1.0*cltWidth)/g_origW if( cltHeight < g_origH*factor ) factor=3D(1.0*cltHeight)/g_origH newSize =3D g_origSz * factor if( newSize < 1 ) newSize=3D1 s=3DSlideObj.style s.fontSize=3DnewSize+"px" s.posWidth=3Dg_origW*factor s.posHeight=3Dg_origH*factor s.posLeft=3D(cltWidth-s.posWidth+padding)/2 s.posTop=3D(cltHeight-s.posHeight+padding)/2 if( g_scaleHyperlinks ) ScaleHyperlinks( factor ) } function _InitAnimations() { animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined'; isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq 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null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram= es", gIsEndShow=3D0, NUM_VIS_SLDS=3D44, SCRIPT_HREF=3D"script.js", FULLSCR_= HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var gMainDoc=3Dnew Array(new hrefList("slide0001.htm",1,-1,1),new hrefList(= "slide0002.htm",1,-1,1),new hrefList("slide0030.htm",1,-1,1),new hrefList("= slide0031.htm",1,-1,1),new hrefList("slide0062.htm",1,-1,1),new hrefList("s= lide0032.htm",1,-1,1),new hrefList("slide0019.htm",1,-1,1),new hrefList("sl= ide0046.htm",1,-1,1),new hrefList("slide0065.htm",1,-1,1),new hrefList("sli= de0083.htm",1,-1,1),new hrefList("slide0064.htm",1,-1,1),new hrefList("slid= e0047.htm",1,-1,1),new 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hrefList("slide0058.htm",1,-1,1),new hrefList("slide0053.htm",1,-= 1,1),new hrefList("slide0051.htm",1,-1,1),new hrefList("slide0061.htm",1,-1= ,1),new hrefList("slide0045.htm",1,-1,1),new hrefList("slide0022.htm",1,-1,= 1)); function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) { var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix(); function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') { href=3Dnew String(document.location.href) Start=3Dhref.indexOf('!')+1 End=3Dhref.lastIndexOf('/')+1 if (End < 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FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else return gCurSld } function GetNumSlds() { if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; PPTSld.location.replace(MHTMLPrefix+obj.mSldHref) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 PPTSld.location.replace(MHTMLPrefix+href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('


' + ENDSHOW_MESG + '

') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); function ImgBtn( oId,bId,w,action ) { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } function TxtBtn( oId,oeId,action,chkState ) { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() { b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() { b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr= row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; s.fontFamily=3DsFont s.fontSize=3D"9pt" s.paddingLeft=3D2 } function CreateSeparator( node ) { var sObj=3DCreateItem( node ) SetCMBorder(sObj,"menu","menu") var s=3DsObj.style s.borderTopColor=3D"threedshadow" s.borderBottomColor=3D"threedhighlight" s.height=3D1 s.fontSize=3D"0px" } function CreateItem( node ) { var elem=3DPPTSld.document.createElement("DIV") node.insertBefore( elem ) return elem } function SetCMBorder( o,ltClr,rbClr ) { var s=3Do.style s.backgroundColor=3D"menu" s.borderStyle=3D"solid" s.borderWidth=3D1 s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr } ------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/fullscreen.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; 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charset="us-ascii" New Choices Waiver Case Manager Training ------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
 No= tes
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Outline
------=_NextPart_01CC19F7.EB40A2C0 Content-Location: file:///C:/D1A9C651/FinalNCWAdultResidentialProviderTrainingFY2011_files/filelist.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01CC19F7.EB40A2C0--