Policy and Manual Management System (PAMMS)
Georgia Department of Human Services

Division of Family and Children Services

    • ADA and Section 504
    • Civil Rights
    • Voter Registration
  • Child Welfare Services
    • Child Welfare Policy Manual
    • Chapter 1 Administration
      • 1.0 Administration of Child Welfare Services
      • 1.1 Access, Distribution and Review of Child Welfare Policies
      • 1.4 Non-Discriminatory Child Welfare Practices
      • 1.5 Americans with Disabilities Act (ADA)/Section 504 and Reasonable Modifications
      • 1.6 Indian Child Welfare Act (ICWA) and Transfer of Responsibility for Placement and Care to a Tribal Agency
      • 1.7 Monitoring, Reviews, Reporting, and Independent Audits
      • 1.8 Volunteer Services
      • 1.9 Public Review and Inspection of Child and Family Services Review Materials and Federal Plans
      • 1.10 Child Fatality Review
      • 1.11 Specific Goals in State Law for Children in Foster Care Over 24 Months
      • 1.12 Review of Payments and Approval Standards
      • 1.13 Sex Trafficking Overview
      • 1.14 Emergency Operations Plans
      • 1.15 Child Abuse Protocol
      • 1.16 Civil Rights Complaint Process
    • Chapter 2 Information Management
      • 2.0 Introduction to Information Management
      • 2.1 Case Record Maintenance
      • 2.2 Adoption Case Records
      • 2.3 Adoption Assistance Case Records
      • 2.5 Health Insurance Portability and Accountability Act (HIPAA)
      • 2.6 Confidentiality/Safeguarding Information
      • 2.7 Contact with Media, Legislators, County Officials
      • 2.8 Subpoenas (Testimony and Case Records)
      • 2.9 Open Records Act of Georgia
      • 2.10 J.J. v. Ledbetter Parent or Guardian Request for Information
      • 2.11 Public Access to Records in Child Fatality and Near Fatality Cases
    • Chapter 3 Intake
      • 3.0 Introduction to Intake
      • 3.1 Receiving Intake Reports
      • 3.2 Making an Intake Decision
      • 3.3 Intakes Involving Active Cases
      • 3.4 Intakes Involving Substance Use or Abuse, Prenatal Abuse, or Fetal Alcohol Syndrome Disorder (FASD)
      • 3.5 Intakes Involving Infants Born Alive
      • 3.6 Intakes Involving Family Violence, Domestic Violence or Intimate Partner Violence
      • 3.7 Intakes Involving Human Trafficking
      • 3.8 Intakes Involving Unaccompanied Homeless Youth
      • 3.9 Intakes Involving DFCS or Child Placement Agency Foster or Adoptive Homes
      • 3.10 Intakes Involving Foster Care Kinship Placements
      • 3.11 Intakes Involving Residential and Non-Residential Facilities
      • 3.12 Intakes Involving Public or Private Non-Residential Schools and Overnight Camps
      • 3.13 Intakes Involving Child Death, Near Fatality or Serious Injury
      • 3.14 Special Circumstance Intakes Involving Child Withdrawn from Public School
      • 3.15 Special Circumstance Intakes Involving Juvenile or Superior Court (No Maltreatment)
      • 3.16 Special Circumstance: Intakes Involving Child in Need of Services (No Maltreatment)
      • 3.17 Special Circumstance Intakes Involving Safe Place for Newborns
      • 3.18 Special Circumstance Intakes Involving Prenatal Exposure (No Maltreatment)
      • 3.19 Special Circumstance Intakes Involving Voluntary Placement Agreements (VPA)
      • 3.20 Special Circumstance Intakes Involving Voluntary Surrender of Parental Rights
      • 3.21 Special Circumstance Intakes Involving Short Term Emergency Care (Emergency or Illness)
      • 3.22 Special Circumstance Intakes Involving Short Term Emergency Care (Human Trafficking)
      • 3.23 Special Circumstance Intakes Involving Temporary Protective Custody of a Child by Physician
      • 3.24 Mandated Reporters
      • 3.25 Sharing Intake Reports with Law Enforcement, District Attorney or Military
      • 3.26 Screen-Out Refer Process
      • 3.27 Administrative Opening
      • 3.28 Information and Referrals
      • 3.29 Request for Courtesy Interviews
      • 3.30 Non-Incident Request Types (DJJ, ICPC, PAD and PFC)
      • 3.31 Intakes Involving a Child in Need of Services (Maltreatment)
    • Chapter 4 Initial Safety Assessment (ISA)
      • 4.0 Introduction to Initial Safety Assessment
      • 4.1 Preparing for the Initial Safety Assessment
      • 4.2 Conducting the Initial Safety Assessment
      • 4.3 Purposeful Contacts During Initial Safety Assessments
    • Chapter 5 Investigations
      • 5.0 Introduction to Investigations
      • 5.1 Conducting an Investigation
      • 5.2 Purposeful Contacts During an Investigation
      • 5.3 Making an Investigation Determination
      • 5.4 Notifications in Investigations
      • 5.5 Child Protective Services Administrative Reviews
      • 5.9 Family Refuses to Cooperate During an Investigation
    • Chapter 6 Special Investigations
      • 6.0 Introduction to Special Investigations
      • 6.1 Preparing for Special Investigations
      • 6.2 Purposeful Contacts in Special Investigations
      • 6.3 Conducting Special Investigations on DFCS or Child Placing Agency Foster or Adoptive Homes
      • 6.4 Conducting Special Investigations on Foster Care Kinship Placements
      • 6.5 Conducting Special Investigations on Residential or Non-Residential Facilities
      • 6.6 Conducting Special Investigations on Public or Private Non-Residential Schools
      • 6.7 Conducting Special Investigations of a Child Death, Near Fatality, or Serious Injury
      • 6.8 Making a Special Investigation Determination
      • 6.9 Notifications in Special Investigations
      • 6.10 Reporting of a Child Death, Near Fatality or Serious Injury
      • 6.11 Special Investigations and Policy Violations Review Process
    • Chapter 7 Family Support Services
      • 7.0 Introduction to Family Support Services
      • 7.1 Conducting Family Support Services Assessments
      • 7.2 Purposeful Contacts During Family Support Services
      • 7.3 Making a Family Support Services Determination
      • 7.4 Agreement Strategy
    • Chapter 8 Family Preservation Services
      • 8.0 Introduction to Family Preservation Services
      • 8.1 Initiation of Family Preservation Services
      • 8.2 Purposeful Contacts with Families Receiving Family Preservation Services
      • 8.3 Case Planning
      • 8.4 Case Evaluation
      • 8.5 Case Closure
    • Chapter 9 Eligibility
      • 9.1 Foster Care Maintenance Payments
      • 9.2 Applying for Medical Services at Initial Entry and Exit
      • 9.3 Applying for Initial Funding
      • 9.4 Removal from the Home
      • 9.5 Reasonable Efforts
      • 9.6 Aid to Families with Dependent Children (AFDC) Relatedness Criteria
      • 9.9 IV-E Reimbursability
      • 9.10 Special Situations (Trial Home Visits, Runaway, Parenting Youth in Foster Care and Out-of-State IV-E Foster Care)
      • 9.12 Child Support
    • Chapter 10 Foster Care
      • 10.0 Introduction to Foster Care
      • 10.1 Placement of a Child
      • 10.2 Placement of a Child via Voluntary Placement Agreement (VPA)
      • 10.3 Changes in Placement
      • 10.4 Selecting a Placement Resource
      • 10.10 Comprehensive Child and Family Assessment (CCFA)
      • 10.11 Medical, Dental, and Developmental Needs
      • 10.12 Psychological and Behavioral Health Needs
      • 10.13 Educational Needs
      • 10.14 Promoting Normalcy for Children in Foster Care
      • 10.15 Child Safety Equipment
      • 10.16 Childcare and Early Education
      • 10.18 Purposeful Contacts in Foster Care
      • 10.19 Visitation
      • 10.20 Preserving Sibling Connections
      • 10.21 Expectant or Parenting Youth in Foster Care
      • 10.22 Permanency Planning
      • 10.23 Case Planning
      • 10.24 Trial Home Visit
      • 10.25 Youth Absent Without Permission (AWOP)
      • 10.26 Case Closure
      • 10.27 Aftercare
      • 10.28 End of Life Decisions for Children in Foster Care
    • Chapter 11 Adoption
      • 11.0 Introduction to Adoption
      • 11.1 Adoption Preparation
      • 11.2 Putative Father Registry & Birth Certificates
      • 11.3 Placement with Siblings
      • 11.4 Wait List
      • 11.5 Child Life History
      • 11.6 Foster Parent Adoption Consideration Evaluation
      • 11.7 Child Specific Recruitment Efforts
      • 11.8 Adoption Pre-Placement Staffing & Visitation
      • 11.9 Adoption Placement Signing
      • 11.10 Post-Placement Supervision
      • 11.11 Family Moves to Another State Prior to Finalization
      • 11.12 Adoption Placement Disruptions
      • 11.13 Support Services: Post Adoptive Placement & Post Adoption
      • 11.14 Finalizing the Adoption
      • 11.15 Post Adoption Contact Agreement
      • 11.16 Child Re-Enters Foster Care Following Adoption Finalization
      • 11.17 Adoption Reunion Registry
      • 11.18 Placement of a Georgia Child Into Another State for the Purpose of Adoption
      • 11.19 Placement of a Child From Another State Into Georgia for the Purpose of Adoption
      • 11.20 Disruption of an Interstate Compact on the Placement of Children (ICPC) Child
      • 11.21 Interstate Compact on the Placement of Children (ICPC) Private or Independent Adoption - Georgia Is Sending State
      • 11.22 Interstate Compact on the Placement of Children (ICPC) Private or Independent Adoption - Georgia Is Receiving State
      • 11.23 Independent Adoption Investigations - Appointed by the Court
      • 11.24 Independent Adoption - Family Evaluation for the Purpose of Adoption by a Third Party
    • Chapter 12 Adoption Assistance
      • 12.0 Introduction to Adoption Assistance
      • 12.1 Eligibility - Adoption Assistance Payments, Medicaid & Non-Recurring
      • 12.2 Adoption Assistance Application
      • 12.3 Adoption Assistance Specialized Rate
      • 12.4 Supplemental Security Income (SSI) & Adoption Assistance
      • 12.5 Negotiating the Adoption Assistance Agreement
      • 12.6 Reviewing and Signing the Adoption Assistance Agreement
      • 12.7 Initiating Adoption Assistance Benefits
      • 12.8 Subsequent Determinations - Deferred Adoption Assistance
      • 12.9 Continuation, Renegotiation or Termination of Adoption Assistance Benefits
      • 12.10 Adoption Assistance Benefits - After 18
      • 12.11 Verification of Continuing Eligibility for Adoption Assistance Benefits
      • 12.12 Adoption Assistance Medicaid
      • 12.13 Status Changes
      • 12.14 Family Relocates
      • 12.15 Recovery of Adoption Assistance Overpayments
      • 12.16 Special Services
    • Chapter 13 Independent Living Program
      • 13.0 Introduction to the Independent Living Program
      • 13.1 Eligibility and Enrollment
      • 13.2 Casey Life Skills Assessment
      • 13.3 Written Transitional Living Plan
      • 13.4 Transition from Foster Care
      • 13.5 Individual Development Accounts (IDA)
      • 13.6 Credit Reports for Youth in Foster Care
      • 13.7 Youth Rights and Responsibilities
      • 13.8 State Identification
      • 13.9 Driver Education and Licensure
      • 13.10 Medical Insurance for Youth 18 Years of Age and Older and the Georgia Advance Directive for Health Care
      • 13.11 Post Foster Care Resources
      • 13.13 National Youth in Transition Database (NYTD)
      • 13.14 Asset Inventory
      • 13.15 Events
      • 13.16 Vendor Contracts
    • Chapter 14 Resource Development
      • 14.0 Introduction to Resource Development
      • 14.1 Safety and Quality Standards (SQS)
      • 14.5 Family Child Care and Personal Care Home Operation in Foster Homes
      • 14.6 Recruitment and Retention
      • 14.7 Inquiries and Information Sessions
      • 14.8 Pre-Service Training
      • 14.9 Continued Parent Development
      • 14.10 Initial Family Evaluation
      • 14.11 Individualized Assessment
      • 14.13 Family Re-evaluation
      • 14.14 Family Evaluation Addendums
      • 14.15 Household Approval Status
      • 14.16 Working with Caregivers
      • 14.17 Foster Parent Bill of Rights and Grievance Procedure
      • 14.18 Supervision of Children
      • 14.20 Discipline and Behavior Management
      • 14.21 Actions During Special Investigations
      • 14.22 Policy Violations
      • 14.23 Home Closure
      • 14.24 Inter-County and Inter-Agency Partnerships
    • Chapter 15 Interstate Compact on the Placement of Children (ICPC)
      • 15.0 Introduction to Interstate Compact on the Placement of Children
      • 15.1 Placements Subject to ICPC Jurisdiction
      • 15.2 Placement of Georgia Children into Other States (Georgia as the Sending State)
      • 15.3 Placement of Children from Other States into Georgia (Georgia as the Receiving State)
      • 15.4 ICPC Expedited Placements
      • 15.5 ICPC Placement Supervision
      • 15.6 Court Jurisdiction Cases and Other ICPC Components
      • 15.7 ICPC Related Travel Expenses
      • 15.8 Border Agreements
    • Chapter 16 Room Board Watchful Oversight (RBWO)
      • 16.0 Introduction to Room Board and Watchful Oversight
      • 16.1 Program Designation Types
      • 16.2 Performance Based Placement
      • 16.3 RBWO Placement Referral
      • 16.4 Specialty Program Designation, Children in DJJ & DFCS Joint Custody, and Capacity Waiver
      • 16.5 Specialized Foster Care Per Diem
      • 16.6 Age Requirements for Child Caring Institutions (CCI)
      • 16.7 Discharge Planning
      • 16.8 Minimum Standards
    • Chapter 17 Legal
      • 17.0 Introduction to Court and Legal Process
      • 17.1 The Juvenile Court Process
      • 17.2 Case Review/Permanency Plan Hearings
      • 17.3 Court Orders and Placement Authority
      • 17.4 Mediation
      • 17.5 Continuances
      • 17.6 Public Access to Dependency Proceedings
      • 17.7 Dependency Resulting from Substance Abuse
      • 17.8 Caregiver’s Right to be Notified and Heard
      • 17.9 Court Review of Custodial Orders
      • 17.10 Court Appointed Special Advocate (CASA) and Guardian Ad Litem (GAL)
      • 17.11 Termination of Parental Rights (TPR)
      • 17.12 Voluntary Surrender of Parental Rights
      • 17.13 Court Transfer of Jurisdiction
      • 17.14 Establishing Paternity via Paternity Acknowledgement
      • 17.15 Legitimation
      • 17.16 Fair Hearings
      • 17.17 Enlistment in the Armed Forces
    • Chapter 18 Support Services to Preserve or Reunify Families
      • 18.0 Introduction to Support Services to Preserve or Reunify Families
      • 18.1 Early Intervention
      • 18.2 Promoting Safe and Stable Families (PSSF)
      • 18.3 Prevention of Unnecessary Placement (PUP)
      • 18.4 Parent Aide Services
      • 18.5 Homestead
      • 18.6 Wrap-Around Services
      • 18.7 Childcare Services in Child Protective Services (CPS)
    • Chapter 19 Case Management
      • 19.1 Milestones of Solution Based Casework (SBC)
      • 19.2 Family Developmental Stages and Tasks
      • 19.3 Solution-Focused Family Team Meetings
      • 19.4 Case Transfer
      • 19.5 Case Consultation
      • 19.6 Supervisor Staffing
      • 19.7 Avoiding Conflicts of Interest When Approving Caregivers
      • 19.8 Criminal Records Checks (CRC)
      • 19.9 Safety Screenings
      • 19.10 Analyzing DFCS History
      • 19.11 Safety Assessment
      • 19.12 Safety Plan & Management
      • 19.13 Family Functioning Assessment
      • 19.14 Action Planning
      • 19.15 Developing Contact Standards for Purposeful Contacts and Collaterals Contacts
      • 19.16 Collateral Contacts
      • 19.17 Service Provision
      • 19.18 Targeted Case Management
      • 19.19 Genogram
      • 19.20 Diligent Search
      • 19.21 Unable to Locate
      • 19.22 Missing Children
      • 19.23 Paternity Testing
      • 19.24 Family Treatment Court
      • 19.25 Drug Screens
      • 19.26 Case Management Involving Substance Abuse or Use
      • 19.27 Plan of Safe Care for Infants Prenatally Exposed to Substances or a Fetal Alcohol Spectrum Disorder (FASD)
      • 19.28 Children 1st and Babies Can’t Wait
      • 19.29 Coordination of Care with Hospitals
    • Chapter 20 Special Circumstances
      • 20.0 Introduction to Special Circumstances
      • 20.1 Child Withdrawn from Public School
      • 20.2 Juvenile or Superior Court (No Maltreatment)
      • 20.3 Child In Need of Services (No Maltreatment)
      • 20.4 Safe Place for Newborns
      • 20.5 Infants Prenatally Exposed to Substances (No Maltreatment)
      • 20.6 Voluntary Placement Agreement
      • 20.7 Voluntary Surrender of Parental Rights
      • 20.8 Short Term Emergency Care (Emergency or Illness)
      • 20.9 Short Term Emergency Care (Human Trafficking)
      • 20.10 Temporary Protective Custody of Child by Physician
    • Chapter 22 Kinship
      • 22.0 Introduction to Kinship
      • 22.1 Use of Voluntary Kinship Caregivers in Child Protective Services
      • 22.2 Use of Kinship Caregivers in Foster Care
      • 22.3 Kinship Assessment
      • 22.4 Kinship Foster Home Evaluation
      • 22.5 Kinship Foster Home Re-evaluation
      • 22.6 Waiver of Non-Safety Approval Standards for Kinship Foster Homes
      • 22.7 Family Evaluation for Relative Adoptions
      • 22.8 Financial and Non-Financial Supports for Children in Foster Care or Who Have Achieved Permanency
      • 22.9 Subsidy Review
      • 22.11 Guardianship in Child Protective Services
      • 22.12 Temporary Custody to a Third Party in Child Protective Services
    • Appendix A: Manual Transmittals
    • Appendix B: County Letters
    • Appendix C: Forms and Tools
  • CSBG
    • 100 Program Overview
    • 200 Board Governance
    • 300 Community Needs Assessment
    • 400 Community Action Plan
    • 500 Fiscal Management
    • 600 Types of Income
    • 700 Client Eligibility
    • 800 Americans with Disabilities Act (ADA) and Section 504
    • 900 Fair Hearing
  • LIHEAP
    • 100 Program Overview
    • 200 Program Authorization
    • 300 Detect and Prevent Fraud and Abuse
    • 400 Vendor Management
    • 500 Weatherization
    • 600 Program Monitoring
    • 700 Fair Hearing
    • 800 Americans with Disabilities Act and Section 504
  • Medicaid
    • Table of Contents
    • Appendix A1 - ABD Financial Limits TOC
    • Appendix A2 - Family Medicaid Financial Limits TOC
    • Appendix B - Hearings TOC
    • Appendix C - Medicaid Issuance
    • Appendix E - Glossary
    • Appendix F - Forms TOC
      • Forms Overview
    • Appendix G - MT Cover Letters TOC
    • Appendix H - Medicaid Admin TOC
  • SNAP Policy Manual
    • 3000 General Program Overview
      • 3005 Confidentiality
      • 3010 Voter Registration
      • 3020 Mandated Reporting of Child Abuse or Neglect
      • 3025 Americans with Disabilities Act (ADA) and Section 504
      • 3030 Civil Rights
      • 3035 Verification
      • 3040 Health Information Portability and Accountability Act of 1996
    • 3100 Application Process Overview
      • 3105 Application Processing
      • 3110 Expedited Application Processing
      • 3115 Special Considerations for Applications
      • 3120 Authorized Representative
      • 3125 Disaster Supplemental Nutrition Assistance Program (DSNAP)
    • 3200 Assistance Units Overview
      • 3205 Assistance Units
      • 3210 Categorical Eligibility
      • 3215 Residents of Battered Women and Children Shelters
      • 3220 Residents of Drug and Alcohol Treatment Centers
      • 3225 Residents of Group Living Arrangements
      • 3230 Residents of Homeless Shelters
      • 3235 Seasonal Farmworkers (Migrant or Non-Migrant)
      • 3240 Strikers
      • 3245 Students
    • 3300 Basic Eligibility Criteria Overview
      • 3305 Cooperation with Eligibility Investigations
      • 3310 Lawbreakers
      • 3315 Intentional Program Violations
      • 3320 Citizenship/Alien Status
      • 3325 Enumeration
      • 3335 Identity
      • 3340 Residency
      • 3345 SNAP E&T Work Requirement Overview
      • 3350 Work Registration
      • 3355 Able-Bodied Adults Without Dependents (ABAWD)
      • 3360 E&T Participation Requirement
      • 3365 E&T Enrollment Process
      • 3370 E&T Participation Activities
      • 3375 Work Support Services
      • 3380 Failure to Comply with Work Requirements
      • 3385 Failure to Perform Required Action
    • 3400 Financial Eligibility Criteria Overview
      • 3405 Resources
      • 3415 Real Property
      • 3420 Income
      • 3425 Self-Employment Income
      • 3430 Military Pay
    • 3500 Computer Matches Overview
      • 3505 Income and Eligibility Verification System (IEVS)
      • 3515 Clearinghouse
      • 3520 Social Security Administration (SSA) Prisoner Verification Inquiry
      • 3525 Social Security Administration (SSA) Death Verification Inquiry
      • 3530 Social Security Number (SSN) Validation
    • 3600 Budgeting Overview
      • 3605 Prospective Budgeting
      • 3610 SNAP Budgeting
      • 3611 Deductions Overview
      • 3612 Earned Income Deduction
      • 3613 Standard Deductions
      • 3614 Excess Medical Deduction
      • 3615 Dependent Care Deduction
      • 3616 Child Support Deduction
      • 3617 Shelter and Utility Deductions
      • 3618 Homeless Shelter Deduction
      • 3620 Budget for an AU with Individuals Who Fail to Comply with Enumeration Requirements
      • 3625 Budget for an AU with IPV Disqualified or Work Sanctioned Individuals or Lawbreakers
      • 3630 Budget for an AU with Sponsored Aliens
      • 3635 Budget for an AU with Ineligible Aliens or Ineligible ABAWDs
      • 3640 Contract Employment Budgeting
      • 3650 Failure to Report Earned Income Budgeting
    • 3700 Ongoing Case Management Overview
      • 3704 Transitional Supplemental Nutrition Assistance Program (SNAP)
      • 3705 Notification
      • 3710 Recertifications (Renewals)
      • 3715 Interim Changes
      • 3720 Reporting Requirements
      • 3725 Senior Supplemental Nutrition Assistance Program (Senior SNAP)
      • 3730 Periodic Reporting
    • 3800 Issuance Overview
      • 3805 Electronic Benefits Transfer (EBT)
      • 3810 Issuance
    • Appendix A Financial Standards
      • Appendix A Financial Standards Overview
      • Appendix A SNAP Income Limits
      • Basis of Issuance Tables (AU Sizes 1-10) FY25 with cents
      • Basis of Issuance Tables (AU Sizes 11-20) FY25
      • Basis of Issuance Tables (AU Sizes 1-10) FY25
      • Basis of Issuance Tables (AU Sizes 11-20) FY25 with cents
    • Appendix B Hearings
      • Hearings Overview
      • Responsibilities of the Office of State Administrative Hearings (OSAH)
      • Initial Hearings
      • Final Appeals
      • Responsibilities of the Office of General Counsel (OGC)
      • Administrative Disqualification Hearings (ADH)
    • Appendix C Manual Transmittal Cover Letters
      • MT 82 Cover Letter
      • MT 81 Cover Letter
      • MT 80 Cover Letter
      • MT 79 Cover Letter
      • MT 78 Cover Letter
      • MT 77 Cover Letter
      • MT 76 Cover Letter
      • MT 75 Cover Letter
      • MT 74 Cover Letter
      • MT 73 Cover Letter
      • MT 72 Cover Letter
      • MT 71 Cover Letter
      • MT 70 Cover Letter
      • MT 69 Cover Letter
      • MT 68 Cover Letter
      • MT 67 Cover Letter
      • MT 66 Cover Letter
      • MT 65 Cover Letter
      • MT 64 Cover Letter
      • MT 63 Cover Letter
      • MT 62 Cover Letter
      • MT 61 Cover Letter
      • MT 60 Cover Letter
      • MT 59 Cover Letter
      • MT 58 Cover Letter
      • MT 57 Cover Letter
      • MT 56 Cover Letter
      • MT 55 Cover Letter
      • MT 54 Cover Letter
      • MT 53 Cover Letter
      • MT 52 Cover Letter
      • MT 51 Cover Letter
      • MT 50 Cover Letter
      • MT 49 Cover Letter
      • MT 48 Cover Letter
      • MT 47 Cover Letter
      • MT 46 Cover Letter
      • MT 45 Cover Letter
      • MT 44 Cover Letter
      • MT 43 Cover Letter
      • MT 42 Cover Letter
      • MT 41 Cover Letter
      • MT 40 Cover Letter
      • MT 39 Cover Letter
      • MT 38 Cover Letter
      • MT 37 Cover Letter
      • MT 36 Cover Letter
      • MT 35 Cover Letter
      • MT 34 Cover Letter
      • MT 33 Cover Letter
      • MT 32 Cover Letter
      • MT 31 Cover Letter
      • MT 30 Cover Letter
      • MT 29 Cover Letter
      • MT 28 Cover Letter
      • MT 27 Cover Letter
      • MT 26 Cover Letter
      • MT 25 Cover Letter
      • MT 24 Cover Letter
      • MT 23 Cover Letter
      • MT 22 Cover Letter
      • MT 21 Cover Letter
      • MT 20 Cover Letter
      • MT 19 Cover Letter
      • MT 18 Cover Letter
      • MT 17 Cover Letter
      • MT 16 Cover Letter
      • MT 15 Cover Letter
      • MT 14 Cover Letter
      • MT 13 Cover Letter
      • MT 12 Cover Letter
      • MT 11 Cover Letter
      • MT 10 Cover Letter
      • MT 9 Cover Letter
      • MT 8 Cover Letter
      • MT 7 Cover Letter
      • MT 6 Cover Letter
      • MT 5 Cover Letter
      • MT 4 Cover Letter
      • MT 3 Cover Letter
      • MT 2 Cover Letter
      • MT 1 Cover Letter
    • Appendix D Case Record Maintenance and Document Management
    • Appendix E Glossary
    • Appendix F Forms
      • OSAH Form 1 Food Stamps
      • Form 47 Food Stamp Program in Georgia
      • Form 47 Arabic Food Stamp Program in Georgia (Arabic)
      • Form 47 Bosnian Food Stamp Program in Georgia (Bosnian)
      • Form 47 Burmese Food Stamp Program in Georgia (Burmese)
      • Form 47 Chinese Food Stamp Program in Georgia (Chinese)
      • Form 47 Farsi Food Stamp Program in Georgia (Farsi)
      • Form 47 French Food Stamp Program in Georgia (French)
      • Form 47 Gujarati Food Stamp Program in Georgia (Gujarati)
      • Form 47 Hindi Food Stamp Program in Georgia (Hindi)
      • Form 47 Japanese Food Stamp Program in Georgia (Japanese)
      • Form 47 Korean Food Stamp Program in Georgia (Korean)
      • Form 47 Nepali Food Stamp Program in Georgia (Nepali)
      • Form 47 Portuguese Food Stamp Program in Georgia (Portuguese)
      • Form 47 Russian Food Stamp Program in Georgia (Russian)
      • Form 47 SP Food Stamp Program in Georgia (Spanish)
      • Form 47 Vietnamese Food Stamp Program in Georgia (Vietnamese)
      • Form 74 Food Stamp Manual
      • Form 104 Statement of Child Care Expense
      • Form 126 Self-Employment Work Calendar
      • Form 126 SP Self-Employment Work Calendar (Spanish)
      • Form 127 Self-Employment Work Calendar Log
      • Form 127 SP Self-Employment Work Calendar Log (Spanish)
      • Form 139 Contribution Statement
      • Form 139 SP Contribution Statement (Spanish Version)
      • Form 173 Verification Checklist
      • Form 173 Arabic Verification Checklist Form (Arabic)
      • Form 173 Bosnian Verification Checklist Form (Bosnian)
      • Form 173 Burmese Verification Checklist Form (Burmese)
      • Form 173 Chinese Verification Checklist Form (Chinese)
      • Form 173 Farsi Verification Checklist Form (Farsi)
      • Form 173 French Verification Checklist Form (French)
      • Form 173 Gujarati Verification Checklist Form (Gujarati)
      • Form 173 Hindi Verification Checklist Form (Hindi)
      • Form 173 Japanese Verification Checklist Form (Japanese)
      • Form 173 Korean Verification Checklist Form (Korean)
      • Form 173 Nepali Verification Checklist Form (Nepali)
      • Form 173 Portuguese Verification Checklist Form (Portuguese)
      • Form 173 Russian Verification Checklist Form (Russian)
      • Form 173 SP Verification Checklist Form (Spanish)
      • Form 173 Vietnamese Verification Checklist Form (Vietnamese)
      • Form 173A Appointment Letter
      • Form 173A SP Appointment Letter Form (Spanish)
      • Form 240 Transitional Food Stamps Fact Sheet Instructions
      • Form 296 Expedited FS
      • Form 297 Application for TANF, Food Stamps or Medical Assistance
      • Form 297 Arabic Application for TANF, Food Stamps or Medical Assistance (Arabic)
      • Form 297 Bosnian Application for TANF, Food Stamps or Medical Assistance (Bosnian)
      • Form 297 Burmese Application for TANF, Food Stamps or Medical Assistance (Burmese)
      • Form 297 Chinese Application for TANF, Food Stamps or Medical Assistance (Chinese)
      • Form 297 Farsi Application for TANF, Food Stamps or Medical Assistance (Farsi)
      • Form 297 French Application for TANF, Food Stamps or Medical Assistance (French)
      • Form 297 Gujarati Application for TANF, Food Stamps or Medical Assistance (Gujarati)
      • Form 297 Hindi Application for TANF, Food Stamps or Medical Assistance (Hindi)
      • Form 297 Japanese Application for TANF, Food Stamps or Medical Assistance (Japanese)
      • Form 297 Korean Application for TANF, Food Stamps or Medical Assistance (Korean)
      • Form 297 Nepali Application for TANF, Food Stamps or Medical Assistance (Nepali)
      • Form 297 Portuguese Application for TANF, Food Stamps or Medical Assistance (Portuguese)
      • Form 297 Russian Application for TANF, Food Stamps or Medical Assistance (Russian)
      • Form 297 SP Application for TANF, Food Stamps or Medical Assistance (Spanish)
      • Form 297 Vietnamese Application for TANF, Food Stamps or Medical Assistance (Vietnamese)
      • Form 297A Rights and Responsibilities
      • Form 297A Arabic Rights and Responsibilities Form (Arabic)
      • Form 297A Bosnian Rights and Responsibilities Form (Bosnian)
      • Form 297A Burmese Rights and Responsibilities Form (Burmese)
      • Form 297A Chinese Rights and Responsibilities Form (Chinese)
      • Form 297A Farsi Rights and Responsibilities Form (Farsi)
      • Form 297A French Rights and Responsibilities Form (French)
      • Form 297A Gujarati Rights and Responsibilities (Gujarati)
      • Form 297A Hindi Rights and Responsibilities (Hindi)
      • Form 297A Japanese Rights and Responsibilities (Japanese)
      • Form 297A Korean Rights and Responsibilities (Korean)
      • Form 297A Nepali Rights and Responsibilities (Nepali)
      • Form 297A Portuguese Rights and Responsibilities (Portuguese)
      • Form 297A Russian Rights and Responsibilities (Russian)
      • Form 297A SP Rights and Responsibilities (Spanish)
      • Form 297A Vietnamese Rights and Responsibilities (Vietnamese)
      • Form 298 Senior SNAP Application
      • Form 298 SP Senior SNAP Application (Spanish)
      • Form 299 Senior SNAP Project Brochure
      • Form 299 SP Senior SNAP Project Brochure (Spanish)
      • Form 333 Food Stamp Program Sanction/Penalty Notice
      • Form 333 SP Food Stamp Program Sanction/Penalty Notice (Spanish)
      • Form 339 Simplified Reporting Requirement (SRR)
      • Form 339 SP Simplified Reporting Requirement (SRR) Form (Spanish)
      • Form 339 Arabic Simplified Reporting Requirement (SRR) Form (Arabic)
      • Form 339 Bosnian Simplified Reporting Requirement (SRR) Form (Bosnian)
      • Form 339 Burmese Simplified Reporting Requirement (SRR) Form (Burmese)
      • Form 339 Chinese Simplified Reporting Requirement (SRR) Form (Chinese)
      • Form 339 Farsi Simplified Reporting Requirement (SRR) Form (Farsi)
      • Form 339 French Simplified Reporting Requirement (SRR) Form (French)
      • Form 339 Gujarati Simplified Reporting Requirement (SRR) Form (Gujarati)
      • Form 339 Hindi Simplified Reporting Requirement (SRR) Form (Hindi)
      • Form 339 Japanese Simplified Reporting Requirement (SRR) Form (Japanese)
      • Form 339 Korean Simplified Reporting Requirement (SRR) Forms (Korean)
      • Form 339 Nepali Simplified Reporting Requirement (SRR) Form (Nepali)
      • Form 339 Portuguese Simplified Reporting Requirement (SRR) Form (Portuguese)
      • Form 339 Russian Simplified Reporting Requirement (SRR) Form (Russian)
      • Form 339 Spanish Simplified Reporting Requirement (SRR) Form (Spanish)
      • Form 339 Vietnamese Simplified Reporting Requirement (SRR) Form (Vietnamese)
      • Form 495 SP Job Search Record (Spanish)
      • Form 507 ABAWD Tracking Calendar
      • Form 508 Food Stamp/Medicaid/TANF Renewal
      • Form 508 Arabic Food Stamp/Medicaid/TANF Renewal Form (Arabic)
      • Form 508 Bosnian Food Stamp/Medicaid/TANF Renewal Form (Bosnian)
      • Form 508 Burmese Food Stamp/Medicaid/TANF Renewal Form (Burmese)
      • Form 508 Chinese Food Stamp/Medicaid/TANF Renewal Form (Chinese)
      • Form 508 Farsi Food Stamp/Medicaid/TANF Renewal Form (Farsi)
      • Form 508 French Food Stamp/Medicaid/TANF Renewal Form (French)
      • Form 508 Gujarati Food Stamp/Medicaid/TANF Renewal Form (Gujarati)
      • Form 508 Hindi Food Stamp/Medicaid/TANF Renewal Form (Hindi)
      • Form 508 Japanese Food Stamp/Medicaid/TANF Renewal Form (Japanese)
      • Form 508 Korean Food Stamp/Medicaid/TANF Renewal Form (Korean)
      • Form 508 Nepali Food Stamp/Medicaid/TANF Renewal Form (Nepali)
      • Form 508 Portuguese Food Stamp/Medicaid/TANF Renewal Form (Portuguese)
      • Form 508 Russian Food Stamp/Medicaid/TANF Renewal Form (Russian)
      • Form 508 SP Food Stamp/Medicaid/TANF Renewal Form (Spanish)
      • Form 508 Vietnamese Food Stamp/Medicaid/TANF Renewal Form (Vietnamese)
      • Form 516 Record of Attendance and Performance Report
      • Form 516 SP Record of Attendance and Performance Report (Spanish)
      • Form 524 TANF Community Outreach Services (TCOS) Brochure
      • Form 524 SP TANF Community Outreach Services (TCOS) Brochure (Spanish)
      • Form 528 Supplemental Nutrition Assistance Program (SNAP) Periodic Report
      • Form 528 SP Supplemental Nutrition Assistance Program (SNAP) Periodic Report (Spanish)
      • Form 713 Interagency/Interoffice Referral and Follow-Up
      • Form 713G Grandparents Raising Grandchildren (GRG)
      • Form 799 DFCS Communication
      • Form 805 ABAWD Volunteer Work Verification
      • Form 805 SP ABAWD Volunteer Work Verification (Spanish)
      • Form 806 Medical Statement
      • Form 806 SP Medical Statement (Spanish)
      • Form 809 Verification of Earned Income
      • Form 809 SP Verification of Earned Income (Spanish)
      • Form 820 Third Party Verification of Citizenship
      • Form 821 Statement of Shelter Costs
      • Form 821 SP Statement of Shelter Costs (Spanish)
      • Form 826 Ineligible ABAWD Time-Limit Adverse Action Notice
      • Form 826 SP Ineligible ABAWD Time-Limit Adverse Action Notice (Spanish)
      • Form 826A Ineligible ABAWD Time-Limit Second Three Month Adverse Action Notice
      • Form 826A SP Ineligible ABAWD Time-Limit Second Three Month Adverse Action Notice (Spanish)
      • Form 840 Medical Transportation Expense Log Instructions
      • Form 840 Medical Transportation Expense Log Instructions (Spanish)
      • Form 841 Food Loss Replacement
      • Form 841 Food Loss Replacement (Spanish)
      • Form 846 Change Report
      • Form 846 Arabic Change Report (Arabic)
      • Form 846 Bosnian Change Report (Bosnian)
      • Form 846 Burmese Change Report (Burmese)
      • Form 846 Chinese Change Report Form (Chinese)
      • Form 846 Farsi Change Report Form (Farsi)
      • Form 846 French Change Report Form (French)
      • Form 846 Gujarati Change Report Form (Gujarati)
      • Form 846 Hindi Change Report Form (Hindi)
      • Form 846 Japanese Change Report Form (Japanese)
      • Form 846 Korean Change Report Form (Korean)
      • Form 846 Nepali Change Report Form (Nepali)
      • Form 846 Portuguese Change Report Form (Portuguese)
      • Form 846 Russian Change Report Form (Russian)
      • Form 846 SP Change Report Form (Spanish)
      • Form 846 Vietnamese Change Report (Vietnamese)
      • Form 858 Comparable Workfare Guide
      • Form 858 SP Comparable Workfare Guide (Spanish)
      • Form 859 SNAP Consolidated Work Requirements Notice
      • Form 859 SP SNAP Consolidated Work Requirements Notice (Spanish)
      • Form 864 SNAP Works Screening and Referral Tool
      • Form 875 Verification of Educational Assistance Income
      • Form 875 SP Verification of Educational Assistance Income (Spanish)
      • Form 880 Applying for Food Stamps Required Verification
      • Form 5459 Authorization for Release of Information
      • Form 5459 SP Authorization for Release of Information (Spanish)
      • Form 5460 Notice of Privacy Practices
      • Form 5460 SP Notice of Privacy Practices (Spanish)
      • Form EBT 2 EBT Control Log-County Office EBT Cards (2)
      • Form EBT 3 EBT Control Log-County Office PINS (3)
      • Form EBT 4 EBT Control Log-Receipt of Card/PIN Benefit Representative (4)
      • Form EBT 5 EBT Transfer Control Log-EBT Card Sign In/Sign Out Benefits Representative/Guardian Form (5)
      • Form EBT 6 EBT Control Log-PIN Sign In/Sign Out Benefit Representative/Guardian Form (6)
      • Form EBT 7 EBT Card/PIN Sign Out Authorization (7)
      • Form EBT 8 EBT Family Service Worker/Recipient Receipt Form (8)
      • Form EBT 9 Request for Manual Issuance of Benefits (9)
      • Form EBT 10 Request for Re-Obligations of Benefits (10)
    • Appendix J Customer Complaint Procedures
    • Appendix L Child Support Services Glossary
  • TANF Policy Manual
    • 1000 General Program Overview
      • 1001 TANF (Temporary Assistance for Needy Families)
      • 1002 Confidentiality
      • 1003 Civil Rights
      • 1004 Americans with Disabilities Act (ADA) and Section 504
      • 1005 Domestic Violence
      • 1008 Voter Registration
      • 1010 Mandated Reporting
      • 1011 Health Insurance Portability and Accountability Act (HIPAA) of 1996
    • 1100 Application Processing
      • 1105 Application Processing
      • 1110 Authorized Representative
    • 1200 Assistance Units
      • 1205 Assistance Units
      • 1210 Grandparents Raising Grandchildren (GRG)
    • 1300 Basic Eligibility
      • 1302 Domestic Violence
      • 1305 Age
      • 1310 Citizenship/Alienage
      • 1315 Deprivation
      • 1316 Deprivation Based on Death
      • 1317 Continued Absence from The Home
      • 1318 Deprivation Based on Incapacity
      • 1319 Deprivation Based on Recent Connection to the Work Force
      • 1320 Child Support Enforcement
      • 1325 Enumeration
      • 1330 Identity
      • 1335 Living with a Specified Relative
      • 1340 Residency
      • 1345 Personal Responsibility Requirements
      • 1347 School Attendance
      • 1349 Work Requirements
      • 1351 Sanctions
      • 1355 Application for Other Benefits
      • 1360 Immunization
      • 1365 Living Arrangements of a Minor Head of Household
      • 1370 Pregnancy and Prenatal Care
      • 1380 Cooperation with Eligibility Investigations
      • 1385 Intentional Program Violations
      • 1387 Lawbreakers
      • 1390 Lifetime Limit
      • 1392 Hardship Waiver
      • 1394 Verification
    • 1400 Computer Matches
      • 1401 Computer Matches Overview
      • 1405 Income and Eligibility Verification System (IEVS)
      • 1410 Security for IRS, FTI, and BEERS Information
      • 1415 Clearinghouse
      • 1430 Social Security Number (SSN) Validation
      • 1440 Prisoner Verification Inquiry System
    • 1500 Financial Eligibility Criteria
      • 1501 Financial Overview
      • 1505 Resources
      • 1510 Treatment of Resources by Resource Type
      • 1515 Vehicles
      • 1520 Real Property
      • 1525 Income
      • 1530 Treatment of Income-by-Income Type
      • 1535 Military Pay
      • 1540 Self-Employment
    • 1600 Budgeting
      • 1605 Basic Budgeting
      • 1610 Determining Representative Income and Expenses
      • 1615 Deductions
      • 1620 Responsibility Budgeting
      • 1622 Budgeting the Income of a Stepparent
      • 1624 Budgeting the Income of the Parent(s) of a Minor Head of Household
      • 1626 Budgeting the Income of an Ineligible Parent
      • 1628 Budgeting the Income of the Spouse of a Nonparent Caretaker
      • 1630 Budgeting the Income of an Ineligible Spouse
      • 1632 Budgeting the Income and Resources of a Sponsored Alien
      • 1635 Allocation to an Ineligible Spouse and/or Child
      • 1645 Budgeting Child Support Income
      • 1650 Budgeting Lump Sum Income
      • 1655 Budgeting When A First Sanction is Imposed
      • 1665 Budgeting the Income of a Disqualified Individual
      • 1670 Budgeting the Income of a Penalized Individual
    • 1700 Case Management
      • 1701 Case Management Overview
      • 1705 Notification
      • 1710 Recertifications (Renewals)
      • 1720 Changes
      • 1730 Financial Changes
      • 1735 Changes in Residence
      • 1740 AU Composition Changes
      • 1745 Miscellaneous Changes
    • 1800 Employment Services
      • 1801 Employment Services
      • 1805 Applicant Services
      • 1815 TANF Family Service Plan Development
      • 1820 Work Activities
      • 1825 Subsidized Employment General Requirements
      • 1826 Subsidized Employment Grant Diversion
      • 1827 Subsidized Employment Cash Reimbursement
      • 1830 Employment Support Services
      • 1835 Failure to Participate
      • 1840 Work Support Program
    • 1900 Issuance
      • 1901 Issuance Overview
      • 1905 Issuance
      • 1910 Electronic Benefits Transfer
      • 1915 Managed Accounts
    • Appendix A TANF Financial Standards
    • Appendix B Hearings
      • Appendix B Fair Hearings
      • Appendix B Fair Hearing Responsibilities
      • Appendix B Appealing a Final OSAH Decision
    • Appendix D Case Record Document Management
    • Appendix E Glossary
    • Appendix F Forms
      • OSAH FORM 1 - TANF
      • Form 102 Waiver of Timely Notice Period
      • Form 104 Statement of Child Care Expense
      • Form 104 SP Declaraciónde Costos de Guardería (Spanish)
      • Form 114 TANF Hardship Waiver Case Staffing Worksheet
      • Form 118 Request for Hearing
      • Form 121 Interim Review of Eligibility
      • Form 126 Self-Employment Work Calendar
      • Form 126 SP Calendario de Trabajo del Empleo por Cuenta Propia (Spanish)
      • Form 130 TANF and Family Medicaid Child Support Letter
      • Form 130 SP TANF y Medicaid Familiar, Carta de ayuda Infantil y Médica (Spanish)
      • Form 136 County Request for a Final Appeal
      • Form 138 Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcement and Third Party Resource Requirements
      • Form 138 SP Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcement and Third Party Resource Requirements (Spanish)
      • Form 139 Contribution Statement
      • Form 139 SP Declaracion Contributiva (Spanish)
      • Form 173 Verification Check List
      • Form 173 SP Lista de Verification (Spanish)
      • Form 173A Appointment Letter
      • Form 173A SP Carta De Cita (Spanish)
      • Form 188 Social Data Report
      • Form 188 SP Informe de Datos Sociales (Spanish)
      • Form 190 TANF Conciliation / Material Violation Staffing
      • Form 190 SP Conciliacion / Dotacion del Personal por Incumplimiento Sustancial de TANF (Spanish)
      • Form 191 Disposition Notification TANF Hardship Waiver
      • Form 191 SP Notificacion de Disposicion de Revocatoria de Dificultad de TANF (Spanish)
      • Form 192 Disposition Notification TANF Lifetime Limit Termination or Denial
      • Form 192 SP Terminacion del Limite de Vida o Negativa de Dificultad de Asistencia Temporal Para Familias (Spanish)
      • Form 193 TANF Prenatal Care Verification
      • Form 193 SP Verificacion de Cuidado Prenatal de TANF (Spanish)
      • Form 194 TANF Assessment for Domestic Violence, Sexual Assault, Sexual Harassment, or Stalking
      • Form 194 SP Evaluación Sobre Violencia Doméstica, Agresión Sexual, Acoso Sexual o Acoso del Programa de Asistencia Temporal para Familias en Necesidad (Spanish)
      • Form 195 TANF Community Service Agreement
      • Form 196 TANF Family Service Plan-Personal Responsibility Plan
      • Form 196 SP Plan de Servicio Familiar de TANF (Spanish)
      • Form 196A TANF Family Service Plan-WorkPlan
      • Form 196A SP Plan de Servicio Familiar de TANF Plan de Trabajo (Spanish)
      • Form 197 TANF Sanction / Panel Review Guide
      • Form 197A Guide for TANF Sanction Home Visit
      • Form 199 TANF ES Case Staffing
      • Form 200 TANF Subsidized Employment Agreement
      • Form 205 Disposition Notification Employment Intervention Services
      • Form 205 SP Notificación de Disposición Servicios de Intervención Laboral (Spanish)
      • Form 207 Disposition Notification Work Support Payment
      • Form 207 SP Aviso de Dictamen Pagos de Apoyo Laboral (Spanish)
      • Form 239 TANF Budget Sheet
      • Form 281 GRG Monthly Subsidy / CRISP Payments
      • Form 282 Disposition Notification Grandparents Raising Grandchildren (GRG) Crisis Intervention Services Payment (CRISP)
      • Form 282 SP Notificación de Disposición Pagos por Servicios de Intervención en Crisis (CRISP) para Abuelos que Crían a sus Nietos (GRG) (Spanish)
      • Form 297 Application for TANF, Food Stamps and Medical Assistance
      • Form 297 LP Application for TANF, Food Stamps or Medical Assistance (Large Print)
      • Form 297 SP Application for TANF, Food Stamps or Medical Assistance (Spanish)
      • Form 297 SP LP Application for TANF, Food Stamps or Medical Assistance (Spanish) (Large Print)
      • Form 297A Rights and Responsibilities
      • Form 297A LP Rights and Responsibilities (Large Print)
      • Form 297A SP Rights and Responsibilities (Spanish)
      • Form 297A SP LP Rights and Responsibilities (Spanish) (Large Print)
      • Form 329 Disposition Notification - TANF First Sanction
      • Form 329 SP Aviso de Dictamen Sanciones de la Asistencia Temporal para Familias Necesitadas (Spanish)
      • Form 351 GRG MSP/CRISP Work Sheet
      • Form 354 Expense Statement
      • Form 354 SP Declaración de Gastos (Spanish)
      • Form 373 Simplified Reapplication Process
      • Form 482 Work Experience Agreement
      • Form 482 SP Contrato para Obtener Experiencia de Trabajo (Spanish)
      • Form 486 Claims Repayment Agreement
      • Form 486 SP Acuerdo de Reembolso por Sobrepago (Spanish)
      • Form 489 TANF Work Requirement Exemption
      • Form 489 SP Formulario de Exención de Requisito de Trabajo de TANF (Spanish)
      • Form 490 TANF Family Assessment
      • Form 490 SP Evaluación de Empleo de Servicios del Solicitante (Spanish)
      • Form 491A TANF Work Readiness Assessment - ADA Addendum
      • Form 491A SP Evaluación Familiar de Servicios de Empleo (Spanish)
      • Form 495 Job Search Record
      • Form 495 SP Historial de Busqueda de Trabajo (Spanish)
      • Form 508 Food Stamps, Medicaid, TANF Renewal
      • Form 508 LP Food Stamps, Medicaid, TANF Renewal Form (Large Print)
      • Form 508 SP Formulario de Renovacion de Cupones de Alimentos (SNAP/Medicaid/TANF) (Spanish)
      • Form 508 SP LP Formulario de Renovacion de Cupones de Alimentos (SNAP/Medicaid/TANF) (Large Print)
      • Form 516 Record of Attendance and Performance Report
      • Form 516 SP Registro de Asistencia e Informe de Rendimiento (Spanish)
      • Form 517 Record of School Attendance and Performance Report
      • Form 517 SP Registro de Asistencia Escolar e Informe de Desempeño (Spanish)
      • Form 522 What Every Person Needs to Know (Domestic Violence)
      • Form 522 SP Lo Que Toda Persona Necesita Saber Folleto Sobre Violencia (Spanish)
      • Form 523 Family Violence Option Assessment Report
      • Form 524 TANF Community Outreach Services
      • Form 524 SP Departamento de Recursos Humanos de Georgia (Spanish)
      • Form 525 Authorization to Release DV Indicator
      • Form 713-CS OCSS/DFCS Communication
      • Form 785 Family Planning Services Referral
      • Form 785 SP Remisióna Los Servicios De Planificación Familiar (Spanish)
      • Form 806 Medical Statement
      • Form 806 SP Declaración Médica (Spanish)
      • Form 809 Verification of Earned Income
      • Form 809 SP Formulario de Verificación de Empleo (Spanish)
      • Form 846 Change Report
      • Form 846 SP Formulario para Modificar el Informe (Spanish)
      • Form 1215 Federal Tax Information - Secured Verification Letter
      • Form 5459 Authorization for Release of Information
      • Form 5459 SP Autorización para Ceder Información (Spanish)
      • Form 5460 Notice of Privacy Practices
      • Form 5460 SP Notificación de Prácticas de Privacidad de HIPAA (Spanish)
      • Form 5667 Request for Investigation
      • Form 5706 TANF/Family Medicaid Child Support Enforcement Compliance Agreement
    • Appendix G Manual Transmittal Cover Letters
      • MT 80 Cover Letter
      • MT 79 Cover Letter
      • MT 78 Cover Letter
      • MT 77 Cover Letter
      • MT 76 Cover Letter
      • MT 75 Cover Letter
      • MT 74 Cover Letter
      • MT 73 Cover Letter
      • MT 72 Cover Letter
      • MT 71 Cover Letter
      • MT 70 Cover Letter
      • MT 69 Cover Letter
      • MT 68 Cover Letter
      • MT 67 Cover Letter
      • MT 66 Cover Letter
      • MT 65 Cover Letter
      • MT 64 Cover Letter
      • MT 63 Cover Letter
      • MT 62 Cover Letter
      • MT 61 Cover Letter
      • MT 60 Cover Letter
      • MT 59 Cover Letter
      • MT 58 Cover Letter
      • MT 57 Cover Letter
      • MT 56 Cover Letter
      • MT 55 Cover Letter
      • MT 54 Cover Letter
      • MT 53 Cover Letter
      • MT 52 Cover Letter
      • MT 51 Cover Letter
      • MT 50 Cover Letter
      • MT 49 Cover Letter
      • MT 48 Cover Letter
      • MT 47 Cover Letter
      • MT 46 Cover Letter
      • MT 45 Cover Letter
      • MT 44 Cover Letter
      • MT 43 Cover Letter
      • MT 42 Cover Letter
      • MT 41 Cover Letter
      • MT 40 Cover Letter
      • MT 39 Cover Letter
      • MT 38 Cover Letter
      • MT 37 Cover Letter
      • MT 36 Cover Letter
      • MT 35 Cover Letter
      • MT 34 Cover Letter
      • MT 33 Cover Letter
      • MT 32 Cover Letter
      • MT 31 Cover Letter
      • MT 30 Cover Letter
      • MT 29 Cover Letter
      • MT 28 Cover Letter
      • MT 27 Cover Letter
      • MT 26 Cover Letter
      • MT 25 Cover Letter
      • MT 24 Cover Letter
      • MT 23 Cover Letter
      • MT 22 Cover Letter
      • MT 21 Cover Letter
      • MT 20 Cover Letter
      • MT 19 Cover Letter
      • MT 18 Cover Letter
      • MT 17 Cover Letter
      • MT 16 Cover Letter
      • MT 15 Cover Letter
      • MT 14 Cover Letter
      • MT 13 Cover Letter
      • MT 12 Cover Letter
      • MT 11 Cover Letter
      • MT 10 Cover Letter
      • MT 9 Cover Letter
      • MT 8 Cover Letter
      • MT 7 Cover Letter
      • MT 6 Cover Letter
      • MT 5 Cover Letter
      • MT 4 Cover Letter
      • MT 3 Cover Letter
      • MT 2 Cover Letter
      • MT 1 Cover Letter
    • Appendix H TANF Subsidized Employment Program (TSEP)
      • TANF Subsidized Employment Program Policy (TSEP)
      • TSEP Acknowledgment Statement
      • TSEP Application and Eligibility Worksheet
      • TSEP Fact Sheet
      • TSEP Memo
Division of Family and Children Services
  • Division of Aging Services
  • Division of Child Support Services
  • Division of Family and Children Services
  • Office of Budget Administration
  • Office of Facilities and Support Services
  • Office of Financial Services
  • Office of General Counsel
  • Office of Human Resources
  • Office of Information Technology
  • Office of Inspector General
  • Office of Legislative Affairs and Outreach
  • Office of Procurement Services
  • Office of Refugee Services
  • PAMMS Help
  • Division of Family and Children Services
  • Medicaid
  • Appendix B - Hearings TOC
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Source

Appendix B: Hearings Table of Contents | Medicaid

Georgia State Seal

Georgia Division of Family and Children Services
Medicaid Policy Manual

Policy Title:

Appendix B TOC: Hearings

Effective Date:

June 2025

Chapter:

Appendix B

Policy Number:

Appendix B TOC

Previous MT Number(s):

NA

Updated or Reviewed in MT:

MT 74

Medicaid Administrative Reviews

Hearings

Appeal

OSAH Responsibilities
Appendix A2 - Family Medicaid Financial Limits TOC Appendix C - Medicaid Issuance

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