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Image of a report. Certification (PPD) Deeming Initiative for Inpatient Rehabilitation and Withdrawal an... Attestation form for hospital-based 816 and 818 certified programs to participate in OASAS deeming initiative. Download about Deeming Initiative for Inpatient Rehabilitation and Withdrawal and Stabilization Programs
Image of a report. Common Applications Residential Redesign Conversion Application A program may apply for any combination of elements under the new 820 regulations (stabilization, rehabilitation and/or reintegration), and must complete the application and certification... Download about Residential Redesign Conversion Application
Image of a report. Common Applications Additional Outpatient Location This is a pre-assembled application of all the required schedules to add an additional location. Download about Additional Outpatient Location
Image of a report. Certification (PPD) Supportive Living Site (PPD-11) Schedule to add/remove supportive living sites within the certified capacity. Download about Supportive Living Site (PPD-11)
Image of a report. Certification (PPD) Application Summary (PPD-5) Schedule containing information and required signatures for an application. Download about Application Summary (PPD-5)
Image of a report. Certification (PPD) Part I - Entity Information Schedule identifying information about the entity submitting the application. Download about Part I - Entity Information
Image of a report. Certification (PPD) Part II - Site Information Schedule identifying information about the site for the proposed action. Download about Part II - Site Information
Image of an arrow within a box. Reporting (PAS) Authorized Person Designation Statement Form Justice Center Staff... Authorized Persons are approved to submit required pre-employment checks of the Staff Exclusion List (SEL). Learn more about Authorized Person Designation Statement Form Justice Center Staff Exclusion List (SEL) Check
Image of a report. Certification (PPD) Part III - Description of Services Schedule describing the services for the proposed action. Download about Part III - Description of Services
Image of a report. Certification (PPD) Part IV - Resource Allocation Schedule listing budget information and staffing for the proposed service. Download about Part IV - Resource Allocation
