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Get Ny Addendum To Life Plan And Staff Action Plan For The Retainer Program And Community 2020-2024

Me: Provider CORP ID: Name of Care Coordination Organization (CCO): This Addendum serves as a temporary change to the Life Plan 1 and the Staff Action Plan (SAP) 2 for to receive (select option below) effective 3 and continuing for the duration of the COVID-19 Retainer Program/Community Habilitation-R Program. This service change is authorized to be initiated prior to the approval/signature of the Care Manager as long as the individual s verbal appro.

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