Ocfs8000 2026

1. Click ‘Get Form’ to open the ocfs8000 in the editor.
2. 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.
3. Input the date of birth and select the child's sex by checking either 'Male' or 'Female'.
4. Enter the Medicaid CIN number in the provided field to confirm eligibility.
5. Select one B2H Waiver type by checking the appropriate box: Serious Emotional Disturbance (SED), Developmental Disabilities (DD), or Medically Fragile (MedF).
6. Indicate the referral type by checking either 'Initial Referral' or 'Subsequent Referral'.
7. Fill in details about the selected Health Care Integration Agency, including name, phone number, address, city, state, and zip code.
8. Complete contact information for both the Medical Consenter and Local Department of Social Services or DJJOY. Ensure all fields are filled accurately.
9. Finally, have the contact sign and date where indicated before saving your completed form.

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