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Applying for Determination of Eligibility | PerformCare
- For children with developmental disabilities
- Eligibility applications for developmental disability services for children younger than age 18 must be filled out and sent to PerformCare, the single access point into the …
- Special notice for young adults ages 18 to 21 See more
Please review these forms and use them as a guide for filling out and sending your application. 1. Intellectual and Developmental Disability Services … See more
These forms are specific to children up to age 18 and have additional instructions to help families and their advocates apply for eligibility. Many of the changes … See more
- 1. Form A: Applicant information and declaration (PDF)Opens a new window
- 2. Form B: Child adaptive behavior summary (CABS) … See more
Application for Intellectual and Developmental Disability (I/DD ...
Applications for eligibility for developmental disability services for children under age 18 must be submitted to PerformCare, the Contracted System Administrator for the New Jersey Children's …
PerformCare - New Jersey Children's System of Care
The application deadline is June 30, 2025. November is National Family Caregivers Awareness Month To all family caregivers — we thank you for your dedication and hard work in caring for your loved ones!
Oct 15, 2018 · You applied before for developmental disability services through the NJ Children’s System of Care (PerformCare) and were notified by PerformCare that you were eligible. To …
- File Size: 5MB
- Page Count: 22
Division of Developmental Disabilities | Apply for Services
You must use the FULL Application for Determination of Eligibility* if either: You did not apply before for developmental disability services from either the NJ Division of Developmental …
PerformCare - A national, full-service, behavioral health managed …
Focused on service, driven by outcomes. PerformCare has earned the NCQA's highest accreditation status of full accreditation for Medicaid. Members, parents, providers. New …
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DCF | Children's System of Care
Additional information about the application process and the eligibility application are available on the PerformCare website. Eligibility for individuals over 18, including life-long planning after …
Log in - Family Portal
Please enter your email address and password to log in to the Portal. If this is your first time using this Portal, you will need to create an account. The preferred browser for the CYBER Family …
Intellectual and Developmental Disability Services | PerformCare
Children and youth with an intellectual or developmental disability and their families must meet service criteria set by state laws to access specialized services. For more details, go to the …
PerformCare for Pennsylvania | PerformCare
Important news for you. PerformCare members can now use our new member portal! When you register for the portal, you can see your claims, view health information just for you, review …
Medicaid - PerformCare
For more information regarding PerformCare's Medicaid solutions, call us at 1-888-700-7370. PerformCare offers a number of Medicaid solutions to both states and health plans. …
Home - Family Portal
Currently, you may use the Family Portal to apply for the following supports: Eligibility for Developmental Disability Services. CSOC Summer Camp Services. Please note - Your Child …
Careers - Performance Food Group
Careers - Performance Food Group. Passion for Food, Dedication To Service. As one of the nation’s largest foodservice distributors, we focus on bringing great food—and great …
Form A: Applicant Information and Declaration. This form gathers information about the child and the child’s benefits, education, and services. It also collects information on the individual …
For more information or to download a LIHEAP application, please go to the state's website. Once you fill out a paper copy of the LIHEAP application found on the website, you can mail your …
Liheap | mydss.mo.gov
How do I apply? NOTE: You must have Adobe Reader on your computer or device to open the application. If you do not have it, you can download it for free. You can also call your …
Summer Camp | PerformCare
Applications must be completed and postmarked/submitted to PerformCare by June 30, 2025. Find information about applying for Summer Camp reiumbursement for children and youth …
Apply for SNAP | mydss.mo.gov
How do I apply? Complete these three simple steps to apply for SNAP: 1. Apply. You can apply for SNAP online or by printing and filling out a paper application: Apply Online. Download & …
Oct 15, 2018 · Application for Determination of Eligibility for Services Enclosed is the DDD FULL Application If you are not sure if the applicant was previously determined eligible for …
Providers | PerformCare
DCP&P staff — get information about accessing services through PerformCare. See a print list of our out-of-home (OOH) providers (PDF). You can also view an online listing of providers …
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