Get Application For Case Management Sc Dhhs - Scdhhs.gov - Scdhhs

This guide provides clear and supportive instructions for completing the Application For Case Management SC DHHS online. By following the steps outlined here, you can ensure that your application is filled out correctly and submitted efficiently.

Follow the steps to successfully complete the application.

1. Press the ‘Get Form’ button to access the application and open it in your preferred document editor.
2. Begin by filling out your personal information, ensuring to provide a complete mailing address, phone number, alternate phone number, and email address.
3. Indicate the services for which you wish to become a provider by checking the appropriate boxes on the application.
4. Review the requirements to ensure that you or your agency meets the necessary qualifications detailed in the form.
5. Complete the Pre-Contractual Information Form included in your application, if applicable, providing all required details.
6. Ensure you check off all additional items that must be submitted with your application, such as evidence of operational capital and documentation of licensure or experience.
7. Sign the application, indicating your title and the date, to certify that all information provided is accurate.
8. Review the completed application for accuracy and completeness before saving changes and downloading it for submission.
9. Submit the completed form and any required attachments to the provided address: Division of Community Long Term Care - Waiver Management, Post Office Box 8206, Columbia, SC 29202-8206, Attention: Ann Coker.

Begin your application process online today to provide case management services.