New Referral CCS/GHPP Client Service Authorization Request (SAR)
Privacy Statement (Civil Code Section 1798 et seq.) The information requested on this form is required by the Department of Health Care Services for
ESTABLISHED CCS/GHPP CLIENT SERVICE AUTHORIZATION
Privacy Statement (Civil Code Section 1798 et seq.) The information requested on this form is required by the Department of Health Care Services for
INFORMATION ABOUT CALIFORNIA CHILDRENS SERVICES (CCS)
CCS is a statewide program that treats children with certain physical complete the application form on page 3 and return it to their county CCS office;.
CCS I.N. Use of Form 6181 for DME
Mar 20 2021 SUBJECT: Use of Durable Medical Equipment Request Forms 6181
CCS for Persons with Mental Disorders and Substance-Use
CCS Recertification Application – DHS 36. Page 2 of 5. F-00475 (08/2015) Complete a current form of CCS employees and contract Providers.
CCS/GHPP Discharge Planning Service Authorization Request (SAR)
Privacy Statement (Civil Code Section 1798 et seq.) The information requested on this form is required by the Department of Health Care Services for
APPLICATION TO DETERMINE CCS PROGRAM ELIGIBILITY
Department of Health Care Services manages the CCS program. complete the application form on page 3 and return it to their county CCS office;.
15-456 RCS Character Competence
https://www.dshs.wa.gov/sites/default/files/forms/pdf/15-456.pdf
California Childrens Services (CCS) Program Service Authorization
The CCS/GHPP Discharge Planning Service Authorization Request (SAR) (form DHCS. 4489) is used when requesting specific services for a CCS client who is
Comprehensive Community Services (CCS) for Persons with Mental
This form accompanies DQA form F-00482 CCS for Persons with Mental Disorders and Substance Use Disorders Initial. Certification Application – DHS 36
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