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  1. This is the Medicaid application, which must be submitted to the Department of Behavioral Health and Developmental Disabilities, along with the DBHDD’s Provider Application, when applying for Medicaid reimbursed services at a new DBHDD behavioral health site. Submission Requirements:

  2. The purpose of this user’s guide is to provide instructions on completing the Existing Provider application for Developmental Disabilities services.

  3. BEHAVIORAL HEALTH PROVIDER APPLICATION CHILD & ADOLESCENT CORE SERVICES. USER’S GUIDE. OVERVIEW. This revised guideline and accompanying Behavioral Health Provider Application are targeted for prospective providers of these services.

  4. 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.

  5. 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.

  6. Providers who meet staff and business requirements are invited to complete the application process. Those providers who successfully complete the application process are then eligible to serve people with developmental disabilities in Georgia who receive services through Medicaid waivers.

  7. 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

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