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How to use or fill out ocfs8000 with our platform
- Click ‘Get Form’ to open the ocfs8000 in the editor.
- Begin by entering the child's name in the designated fields for LAST, FIRST, and MI. Ensure accuracy as this information is crucial for identification.
- Input the date of birth and select the child's sex by checking either 'Male' or 'Female'.
- Enter the Medicaid CIN number in the provided field to confirm eligibility.
- Select one B2H Waiver type by checking the appropriate box: Serious Emotional Disturbance (SED), Developmental Disabilities (DD), or Medically Fragile (MedF).
- Indicate the referral type by checking either 'Initial Referral' or 'Subsequent Referral'.
- Fill in details about the selected Health Care Integration Agency, including name, phone number, address, city, state, and zip code.
- Complete contact information for both the Medical Consenter and Local Department of Social Services or DJJOY. Ensure all fields are filled accurately.
- Finally, have the contact sign and date where indicated before saving your completed form.
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See more ocfs8000 versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2011 | 4.9 Satisfied (35 Votes) |
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- You can subscribe to a free plan.
The second option, though, has restrictions on the number of signatures, sign requests, emails, and documents for adjusting available per month. You can check for full details here.
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