Targeted Case Management Application Checklists & Attestations - North Dakota

Targeted Case Management Application Checklists & Attestations - North Dakota

Targeted Case Management Application Checklists & Attestations is a legal document that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota.

FAQ

Q: What is the Targeted Case Management Application?
A: The Targeted Case Management Application is a process for individuals to apply for case management services in North Dakota.

Q: Who can apply for Targeted Case Management services?
A: Any individual who meets the eligibility criteria can apply for Targeted Case Management services.

Q: What are the eligibility criteria for Targeted Case Management services?
A: The eligibility criteria for Targeted Case Management services vary, but generally include having a qualifying medical or behavioral health condition.

Q: How can I apply for Targeted Case Management services?
A: You can apply for Targeted Case Management services by completing the application form and submitting it to the appropriate agency or organization.

Q: What documents are required to apply for Targeted Case Management services?
A: The required documents may vary, but commonly include proof of residency, identification, medical records, and income information.

Q: What is the purpose of the checklist in the Targeted Case Management Application?
A: The checklist helps applicants ensure that they have included all the necessary documents and information with their application.

Q: What is an attestation in the Targeted Case Management Application?
A: An attestation is a written declaration, made by the applicant or a responsible party, stating that the information provided is true and accurate.

Q: Why is an attestation required in the Targeted Case Management Application?
A: An attestation is required to ensure that the information provided by the applicant is true and accurate, and to prevent fraud and misuse of services.

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Form Details:

  • Released on May 1, 2021;
  • The latest edition currently provided by the North Dakota Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Targeted Case Management Application Checklists & Attestations - North Dakota

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