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Provider Submission Portal
PSP
ATTACH ADDITIONAL DOCUMENTS
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Retrieve Web Portal ID
Applicant Last Name
Applicant Date of Birth
Packet Submission Email
Retrieve
Submit Updated Documents
Web Portal ID
Make sure to attach Guardianship Documentation from the Court or Notice To Provider
Make sure to attach Petition or Court Approved Service Plan
SMI Consent For Assessment
Removal Of Designation Attestation
SMI Determination Form
Core Assessment
Waiver of Three Day Determination Form
Other Documents
Total File Size:
0
MB
