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My Health GPS Program Forms and Materials

My Health GPS Program Forms and Materials

Attachment(s):

Document:

My Health GPS Brochure (1.22 MB)

Document:

My Health GPS Provider 2019 (842.57 KB)

Document:

My Health GPS General Rule 2019 (1.09 MB)

Document:

My Health GPS Provider Manual (1.8 MB)

Document:

My Health GPS Withdrawal form 2019 (188.25 KB)

Document:

My Health GPS Provider Change form 2019 (191.88 KB)

Document:

2018 DHCF Provider Guidance (65.35 KB)

Document:

My Health GPS Decline form - Opt-out - 2019 (186.25 KB)

Document:

2019 DHCF HH2 Provider guidance (513.16 KB)

Document:

2017 DHCF HH2 billing guidance (2).docx (23.63 KB)

Document:

Consent to Participate in the My Health GPS Program-ENGLISH.docx (46.74 KB)

Document:

Consent to Participate in My Health GPS Program-SPANISH.docx (51.08 KB)