APPLICATION PROCESS
Pre-Approval Process
I. Child must be approved by the State Provider Relations Unit. The Provider Relations Unit will send a letter/email to MAAC confirming approval for placement.
II. Please send the following information to the MAAC office after approval is received:
1. MAAC application
2. Collaboration Consent Form
3. List of Previous Placements
4. Georgia ID for youth 14 and older if applying for Chris Kids
5. Most recent psychiatric evaluation (within 2 years)
6. Most recent psychological testing (within 2 years)
7. Psychosexual (if applicable)
8. Most current social summary
9. Critical Incidents (over last 3 months)
10. Discharge summary from any hospitalizations (if available) Current treatment plan (if available)
11. Copy of birth certificate
12. Copy of SS card
13. Copy of custody commitment papers
14. Copy of most recent physical exam (within 12 months), including lab tests(RPR, Urinalysis, CBC blood work, PPD-TB test) to include pregnancy test for females only(as required by individual agency)
15. Copy of most recent dental exam, within past 6 months.
16. Eye/Ear/Dental form (DHR form 3300)
17. Copy of school records including withdrawal form, Current IEP w/eligible report, Standardized tests, Report Cards & Disciplinary Reports, Behavior tracking form
18. Copy of up to date immunization certificate (showing vaccines and dates given, Immunization Form 3231)
19. Panel Review/DFCS case plan (for DFCS children) written Transitional living plan
20. Current Medicaid Card
21. Court Orders (if any apply)The more complete the information, the faster placement will be found.
The Clinical Team for MAAC will staff the child at the weekly meeting held every Wednesday.
III. After the Clinical Team has reviewed the information, then MAAC will schedule an interview or contact you for more information. MAAC may have multiple agencies interview/review a child prior to a decision being made regarding placement. Schedule admission with admitting agency and sign all MAAC intake paperwork.
For DFCS please complete Form 529 for funding source change and fax to Cathy Phillips Region 8 Accounting at (229) 931-6893. Any Questions regarding the process please contact the MAAC office at (404) 880-9323.
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DOWNLOADABLE PRE-APPROVAL FORMS
Forms are in Adobe Acrobat .pdf. To download the free reader, please go HERE. |
Post-Approval Process
I. All MAAC agencies require the following paperwork upon admission, in addition to above information.
1. Copy of birth certificate2. Copy of SS card3. Copy of custody commitment papers4. Copy of most recent physical exam, including lab tests (as required by individual agency)5. Copy of most recent dental exam, within past 6 months.6. Eye/Ear/Dental form (DHR form 3300)7. Copy of school records including withdrawal form, IEP w/eligible report, Standardized tests, Report Cards & Disciplinary Reports8. Copy of immunization certificate9. Panel Review/DFCS case plan (for DFCS children) written Transitional living plan10. Current Medicaid Card
11. Court Orders (if any apply)
II. Schedule admission with admitting agency and sign all MAAC intake paperwork. For DFCS please complete Form 529 for funding source change and fax to Cathy Phillips Region 8 Accounting at (229) 931-6893.
Forms are in Adobe Acrobat .pdf. To download the free reader, please go HERE.
