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  1. OVERVIEW. The purpose of this user’s guide is to provide instructions on completing the Existing Provider application for Developmental Disabilities services. How to Complete Medicaid Application:

  2. 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.

  3. 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.

  4. INTRODUCTION. The FY 2025 Provider Manual for the Division of Developmental Disabilities has been designed as an addendum to your contract/agreement with DBHDD to provide you structure for supporting and serving individuals residing in the state of Georgia. DEPARTMENT OF BEHAVIORAL HEALTH & DEVELOPMENTAL DISABILITIES.

  5. 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.

  6. 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.

  7. 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.

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