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Applicant: Use this application if you do not have an existing Georgia Medicaid provider number. 1. ... Use this field if you receive postal mail at an address other than the ..... Within thirty-five.

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  1. Click the ‘Get Form’ button to access the Gaduiintervention Dbhdd form and open it in your preferred editor.
  2. Begin with the applicant section. Input the name of the individual practitioner or, if applicable, the legal business name for organizations. Ensure accuracy in the name provided.
  3. Proceed to enter address information. Fill in the office physical address accurately, as post office boxes are not acceptable.
  4. Complete the detailed information section. Individual practitioners need to provide their social security number and date of birth.
  5. Input additional relevant details, including federal employer ID and National Provider Identification number, to facilitate identification and processing.
  6. Address the program enrollment section. Select the correct provider type and categories of service applicable to your application.
  7. Attach any necessary documentation as specified within the form, such as proof of liability insurance and any required licenses or certifications.
  8. Review all information filled out for any errors or omissions before finalizing your submission.
  9. After ensuring accuracy, you can save changes, download, print, or share the form as required.

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DUI Intervention Program
How do I search for Clinical Evaluators/Treatment Providers? Visit Georgia DUI...
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The State's Office of Regulatory Services: (404) 657-5726 or (404) 657-5728. The Joint Commission's Office of Quality Monitoring: call (800) 994-6610 or email complaint@jcaho.org.

(Atlanta News First) - As Georgians welcomed the new year, a new state law went into effect that requires insurance companies to cover mental healthcare the same way they cover physical healthcare.

The parity law means — for the first time in Georgia — all health insurance plans must cover mental health conditions on par with physical ones, so patients can no longer be denied medically necessary treatment.

A Clinical Evaluation is required by Georgia Law for anyone who has had two or more DUIs, and may be required for a first DUI at the judge's discretion. The evaluation is a one-time interview which takes approximately one hour. It should be scheduled upon completion of the risk reduction program (DUI School).

Mental Health (MH) and Substance Use Disorder (SUD): The Georgia Department of Community Health (DCH) oversees the state Medicaid program. The state does not have a relevant section 1115 waiver that affects reimbursement of residential services in Institutions for Mental Diseases (IMDs).

National Institute of Mental Health (NIMH) | National Institutes of Health (NIH)

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232