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INSTRUCTIONS FOR COMPLETING GEORGIA DEPARTMENT …

WEBAttach a copy of the front and back of the health insurance card, if possible. If the form is for a trust or QIT, cross out “Policy Holder” and write in “Trustee”. Enter the name of the …

Actived: 7 days ago

URL: https://odis.dhs.ga.gov/ViewDocument.aspx?docId=4001742&verId=1

GEORGIA MALTREATMENT CODES

WEBCommits or allows the insertion of an object, penis, or finger into the vagina or rectum of a child. Causing observable harm to the penis or vagina of a child. Transmitting a sexually …

Category:  Health Go Health

GEORGIA DEPARTMENT OF COMMUNITY HEALTH

WEBProvide the name and address of the person completing the application. A copy of the decision on the application will be returned to the referral source. 1. Complete the …

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GEORGIA DIVISIONOFFAMILY AND CHILDREN SERVICES …

WEBA copy of the application may be submitted in lieu of the DMA 285 with a copy of the insurance card attached, if possible. Form DMA 285 (cont.) Mail, fax, or email Form …

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DETERMINATION OF NEED- REVISED (DON-R)

WEBThe Determination of Need (DON) defines the factors which help determine a person’s functional capacity and any unmet need for assistance in dealing with these …

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ADULT PROTECTIVE SERVICES CHAPTER 1

WEB2001.1 LEGAL BASIS AND FUNDING: The Disabled Adults and Elder Persons Protection Act, O.C.G.A. §30-5-1 et seq., is the legal authority for adult protective services, …

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GEORGIA DEPARTMENT OF HUMAN SERVICES Human …

WEBPolicy # 901 Revised: 02/19/20 Page 1 of 5 . GEORGIA DEPARTMENT OF HUMAN SERVICES . Human Resources Policy # 901 . EMPLOYEE BENEFITS . Released Date: …

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THE COMMUNITY CARE SERVICES PROGRAM

WEBThe Community Care Services Program (CCSP) assists individuals who are elderly and/or functionally impaired to remain in their homes and/or communities. For eligible …

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ATTACHMENT D GEORGIA DEPARTMENT OF HUMAN SERVICES

WEBPathways Medical Assistance is a program that provides free or reduced cost Medicaid coverage to individuals ages 19 to 64 who have household income up to 100% of the …

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GEORGIA DIVISION OF AGING SERVICES HOME AND …

WEB302.1 PURPOSE. This chapter establishes the guidelines and requirements for Area Agencies on Aging (AAAs) that provide or contract for the provision of adult day and …

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COMMUNITY CARE SERVICES PROGRAM LEVEL OF CARE AND …

WEB1. Enter complete name, address & telephone number, including area code, of care coordination team. 2. Enter client’s last name, first name, and middle initial, in that order, …

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GEORGIA DIVISION OF AGING SERVICES PUBLIC …

WEBThe court may order involuntary outpatient treatment for up to one year. O.C.G.A. § 37-3-81.1 Criteria for Inpatient Hospitalization The criteria for inpatient hospitalization for …

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GEORGIA DIVISION OF FAMILY AND CHILDREN SERVICES

WEBThe primary goals of the P4HB program are to reduce Georgia’s low birth weight (less than 2500 grams or 5 lbs. 8 oz) and very low birth weight (less than 1500 grams or 3 lbs. 5 …

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Official Notice of the Georgia Medicaid Estate Recovery …

WEBThe Georgia Department of Community Health (DCH) has established a program called Medicaid Estate Recovery. Federal law requires all states to recover Medicaid monies …

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GEORGIA DIVISION OF FAMILY AND CHILDREN SERVICES …

WEBContact [email protected] if there is a question as to: -If the SNT has been reviewed and approved. -If a SNT has been received and not reviewed by the …

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Notice of Privacy Practices Georgia Department of Human …

WEBThis notice is effective April 14, 2003. It is provided to you pursuant to provisions of the Health Insurance Portability and Accountability Act of 1996 and related federal …

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Women’s Health Medicaid Renewal Form

WEBWomen’s Health Medicaid Renewal Form. Failure to return by the due date will result in closure of the Medicaid case. It is very important that you answer all questions in section …

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OMB No. 0938-1191 Application for Health Coverage & Help …

WEBIf you don’t hear from us, visit gateway.ga.gov or call 1-877-423-4746. Filling out this application doesn’t mean you have to buy health coverage. Get help with this …

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Glossary of Terms, Abbreviations, and Acronyms Division of …

WEBRevised June 15,2023. The entity designated by a State Unit on Aging pursuant to the Older Americans Act (OAA) to provide a comprehensive array of programs and services …

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