REFERRAL PROCESS
Pre-Approval Process
I. Referrals may be made by fax (404) 880-9325, regular mail (address below) or by email (referral@maac4kids.org)
II. Youth can be referred by the County DFCS Office, State Provider Relations Unit or DJJ Placement Specialist. For the referral to be OFFICIAL and for the youth to be reviewed, the MAAC DHR Referral Form must be signed or an email from The Provider Relations Unit must be received. DJJ Placement Specialists may send an email or a fax to refer a youth.
III. Please send the following information to the MAAC office after OFFICIAL referral is made:
1. MAAC DHR Referral Form (required to make the referral OFFICIAL)
2. MAAC Application
3. Collaboration Consent Form
4. List of Previous Placements
5. Georgia ID for youth 14 and older if applying for Chris Kids
6. Most recent psychiatric evaluation (within 2 years)
7. Most recent psychological testing (within 2 years)
8. Psychosexual (if applicable)
9. Most current social summary
10. Critical Incidents (over last 3 months)
11. Discharge summary from any hospitalizations (if available) Current treatment plan (if available)
Please note: The more complete the information, the faster a placement will be found.
The Clinical Team for MAAC will staff the youth 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 youth prior to a decision being made regarding placement. Schedule admission with admitting agency and sign all MAAC intake paperwork.
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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.
III. For DFCS Case Managers, please see the attached instructions on how to enter MAAC funded youth into the SHINES computer system. Print out a copy of the instructions, sign it and fax to us. If you have any questions, please contact Cathy Phillips at Region 8 Accounting at (229) 931-6893.
Forms are in Adobe Acrobat .pdf. To download the free reader, please go HERE.
