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Below you will find the listing of information specifically related to being a provider in our system, which includes disability-specific applications to become a provider for DBHDD, and disability-specific instructions for completing the application.
How to Complete Medicaid Application: cal Assistance (DMA) Additional Location Application (latest version). Click the following link, Medi. aid Additional Location Application print and complete, if applicable. Please note that each residential site.
Department of Human Services (DHS), or the Department of Public Health (DPH) to provide health, mental health, developmental disabilities, or addictive diseases services within this region
No application fee is required (OCSS). Form Completion Receiving Agency Complete follow-up comments. Routing MHDDAD Referral Agency: E-mail 713G to appropriate agency. Subject line of the e-mail should read “713G, County of Residence”. Example: 713G, Heard Co. Record the name of the Grandparent in the body of the e-mail.
DBHDD: Provider Recruitment and Application for Developmental Disabilities Services List below the Waiver Services that you are applying to provide and the number of individuals to be served in each Service.
Georgia Department of Behavioral Health and Developmental Disabilities. FY 2025 – 2nd Quarter Provider Manual for Community Developmental Disability Providers (October 1, 2024) Page 5 of 56. Eligibility, Service Definitions and Service Guidelines for Developmental Disability Services.