90-ADM-20 Care At Home (Model Waiver) Case Management; Guidelines and Procedures This directive tran 2026

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90-ADM-20 Care At Home (Model Waiver) Case Management; Guidelines and Procedures This directive tran Preview on Page 1

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  1. Click ‘Get Form’ to open the 90-ADM-20 Care At Home document in the editor.
  2. Begin by filling out Section A - Identifying Information. Enter the title, organization name, address, and contact details as required.
  3. Proceed to Section B - Program Information. Specify the local social services district, target population, and case manager qualifications.
  4. In Section C - Financial Information, provide details on personnel costs and case management hours. Ensure accuracy for billing purposes.
  5. Complete Section D - Assurances by checking each assurance box and signing where indicated. This confirms compliance with program requirements.
  6. Review all sections for completeness and accuracy before submitting your application through our platform for a seamless process.

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