ID/LAH Waiver Service Provider/Vendor Initial Application Waiver Provider Manual
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ADMH Medicaid Credentialing Protocol
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2024 PATH Application for FY25 2023 PATH Application for FY24 2022 PATH Application for FY23 2021 PATH Application for FY22 2020 PATH Application for FY21
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*No longer accepting TCM (targeted case management) applications at this time.* Agency Medicaid Application (Download the file or open it on your desktop if the links do not work.) Performing Provider Application
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Prospective Vendor Letter Specialized Medical Equipment (SME), Specialized Medical Supplies (SMS), and Environmental Accessibility Adaptations (EAA) Application
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Medicaid Performing Provider Application
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ABALB Member Application and Instructions
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Certified Recovery Support Specialist Application
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Certification Application | Instructions
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