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Idaho Medicaid Health PAS OnLine > Base Document Library > Reference  
Base Document Library - Reference

 Community Resources

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Adolescent Pregnancy Prevention Program    http://healthandwelfare.idaho.gov/Families/PregnancyPrevention/tabid/87/Default.aspx
Adult Protective Serviceshttp://www.idahoaging.com/IdahoCommissiononAging/ICOAProgramsandServices/AdultProtection/tabid/135/Default.aspx
Cancer Data Registry of Idahohttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.idcancer.org%2f&tabid=61&mid=814
Centers for Disease Control (CDC)    http://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.cdc.gov%2f&tabid=60&mid=808
Child Protective Services    http://healthandwelfare.idaho.gov/LinkClick.aspx?link=74&tabid=284&mid=3255
Community Action Agencieshttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fidahocommunityaction.org%2f&tabid=59&mid=802
Criminal History Background Checks    http://healthandwelfare.idaho.gov/LinkClick.aspx?link=851&tabid=284&mid=3255
File a Fraud Complaint    http://healthandwelfare.idaho.gov/LinkClick.aspx?link=136&tabid=284&mid=3255
GovBenefits.govhttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.GovBenefits.gov&tabid=59&mid=802
Idaho Commission on Aginghttp://www.idahoaging.com/
Medicarehttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.medicare.gov%2f&tabid=59&mid=802
Prescription Assistancehttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.idahorx.org&tabid=59&mid=802
Public Record Requesthttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=132&tabid=284&mid=3255
Social Security Administrationhttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.ssa.gov%2f&tabid=61&mid=814
Tobacco Permitshttp://healthandwelfare.idaho.gov/LinkClick.aspx?link=http%3a%2f%2fwww.tobaccopermits.com%2fIdaho%2f&tabid=60&mid=808

 Frequently Asked Questions

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 Forms

Medical Necessity Form-Pregnancy Related.pdfMedical Necessity Form-Pregnancy Relatedsticknec
Claims Review Request Form Instructions.pdfClaims Review Request Form Instructionssticknec
Long Term Care Coversheet.pdfLong Term Care Coversheethopemccain
ACA Physician Self-attestation.pdfACA Physician Self-attestationsticknec
Sterilization Consent Form (Spanish-HW0034S).pdfSterilization Consent Form (Spanish-HW0034S)sticknec
Sterilization Consent Form (English-HW0034).pdfSterilization Consent Form (English-HW0034)sticknec
Significant Change PA.pdfSignificant Change PAsticknec
Self Reliance SOC Fax Cover Sheet.pdfSelf Reliance SOC Fax Cover Sheetsticknec
Presumptive Eligibility.pdfPresumptive Eligibilitysticknec
PDN-Private Duty Nursing Flow Chart.pdfPDN-Private Duty Nursing Flow Chartsticknec
PDN-Private Duty Nursing Addendum (Optional Narrative).pdfPDN-Private Duty Nursing Addendum (Optional Narrative)sticknec
PCS-Personal Care Services QMRP Visit.pdfPCS-Personal Care Services QMRP Visitsticknec
PCS-Personal Care Services QMRP Assessment.pdfPCS-Personal Care Services QMRP Assessmentsticknec
PCS-Personal Care Services Progress Notes.pdfPCS-Personal Care Services Progress Notessticknec
PCS-Personal Care Services Progress Notes Instructions.pdfPCS-Personal Care Services Progress Notes Instructionssticknec
PCS-Personal Care Services Participant Information.pdfPCS-Personal Care Services Participant Informationsticknec
Nursing Home and Waiver Claim Review Request Instructions.pdfNursing Home and Waiver Claim Review Request Instructionssticknec
Nursing Home and Waiver Claim Review Request Form.pdfNursing Home and Waiver Claim Review Request Formsticknec
Notification of Birth (Longer than 72 Hours).pdfNotification of Birth (Longer than 72 Hours)sticknec
NDC Detail Attachment.pdfNDC Detail Attachmentsticknec
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