Αποτελέσματα Αναζήτησης
All required forms for new and existing providers are available on the Georgia Collaborative ASO website. Information. Recruitment and Application to Become a Provider of Developmental Disability Services, 02-701. Provider Enrollment Frequently Asked Questions.
Submission Requirements: The following describes the specific elements of the application, which are required, and the Division’s protocol for application review: The completed Medicaid and DBHDD applications, with required supporting documentation must be submitted simultaneously to the DBHDD.
• Any questions regarding your application must be submitted via email to the following address: MHDDAD-serviceapps@dhr.state.ga.us. This includes all communications, updates; requests for additional information and must reference this tracking number. HOW TO COMPLETE EACH SECTION OF YOUR APPLICATION: Section I – Primary Georgia Site
PART I. Eligibility, Service Definitions and Requirements. Eligibility, Service Definitions and Service Guidelines for Developmental Disability Services. PART II. Service Standards for DD Providers. Section 1: Community Service Standards for Developmental Disability Providers. Section 2: Request for Conversion. PART III .
Appendix GG - Application Checklist Table Documents required by the CVO. Use the checklist table below to gather the documents you will be required to attach to your online application based on the specialty listed on your application.
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.
DBHDD: Recruitment and Application to Become a Provider of Developmental Disabilities Services and operable smoke and carbon monoxide dectectors in Host/Life Sharing Homes. Sufficient safety precautions taken to prevent unauthorized access to in-ground or above ground swimming pool
