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.
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.
Form Details:
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.