Dhs referral line
[DOC File]DHS
https://info.5y1.org/dhs-referral-line_1_a6712e.html
The home must be a natural home setting, and not a DHS licensed facility. The county social service agency applies on the client's behalf to DHS for the program. The application must specify the needs of the family and how the family will use the subsidy. For more information on the CSG program, see DHS Bulletin #96-66-3.
[DOC File]CAF Self-Sufficiency Overpayment Referrals MSC 284 F 12/11
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This referral is for potential overpayment on a: DHS client DHS childcare provider Last name: First name: MI: Date of birth: Social Security number: Prime number: SNAP case number: PA case number: Case status: Open Closed Please complete each line below. Your referral cannot be …
[DOC File]ICPC Referral Checklist .us
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* Form available on-line . ICPC Referral Checklist 10/2019. Title: ICPC Referral Checklist Author: Department of Human Services Last modified by: JAMES Vera Created Date: 10/25/2019 4:48:00 PM Company: Department of Human Services Other titles:
[DOT File]Report of Actual or Suspected Child Abuse or Neglect - DHS ...
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REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Health and Human Services Was Complaint Phoned to MDHHS? Yes No ( If yes, Intake ID # ( If no, contact Centralized Intake (855-444-3911) immediately INSTRUCTIONS: REPORTING PERSON: Complete items 1-19 (20-28 should be completed by medical personnel, if applicable). Send to Centralized …
[DOCX File]The Official Web Site for The State of New Jersey
https://info.5y1.org/dhs-referral-line_1_bc301a.html
using this subject line: Residential Transfer Referral (ID#) (SCA). Also indicate in the subject line if the referral is urgent (impacting health/safety). A monitor will be assigned to guide you throughout the placement process, as needed. The monitor will provide the referral documents to …
[DOC File]Gatekeeper Training Manual - Oregon
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Feb 05, 2014 · The role of the Gatekeeper is not to be a social worker or mental health professional, but rather to purely recognize signs and symptoms that may indicate an older adult or adult with disabilities is in need of assistance or support and then to make the referral to the proper authorities—in this case, the Gatekeeper Referral Line.
[DOT File]LTC-26, Preadmission Screening and Resident Review (PASRR ...
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A referral to DDD for a categorical determination requires the completed positive Level I Screen and the Notice of Referral for Level II PASRR Evaluation (LTC-29) be faxed to the DDD Central Fax Number at 609-341-2349 (see Section XI). ... NEW JERSEY DEPARTMENT OF HUMAN SERVICES. Pre-admission Screening and Resident Review (PASRR) Level I ...
[DOCX File]Section I – DEFINITIONS - Illinois Department of Human ...
https://info.5y1.org/dhs-referral-line_1_52271a.html
The CCBYS agency will provide current/updated crisis contact information to the DHS Statewide Information Referral Line (IRL) at (877) 870-2663. Temporary living arrangement services must be available on a 24-hour basis. The CCBYS agency must have a sufficient number of licensed foster homes to meet the needs of the youth throughout the service ...
DHS-4332, Interstate Compact Placement Request
DHS-4332 (Rev. 1-20) Previous edition obsolete.1Right Margin. ... Do not mark this item simply because you know which county office of the public agency will receive this referral and might even have discussed the case over the telephone; that does not constitute an agreement to supervise. ... type that information onto the line so indicated ...
[DOC File]ADRC_Alzheimers_Sample_Referral_Protocol
https://info.5y1.org/dhs-referral-line_1_9bacf9.html
Oregon ADRC-Alzheimer’s Association Sample Referral Protocol. 4-9-14. Purpose. This referral protocol outlines how Oregon ADRCs and the Alzheimer’s Association Oregon Chapter will coordinate to ensure consumers and families dealing with memory loss, Alzheimer’s or related dementias get the best possible information and assistance in meeting their needs.
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