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Healthcare Providers Who May Administer COVID 19 Vaccines

Becoming a Vaccine Provider in Washington State Any provider interested in receiving allocations of COVID-19 vaccine and authorized under law to vaccinate in Washington State is welcome to enroll in the federal COVID-19 vaccine program. Enrollment is a requirement of the CDC, and Washington State Department of Health (DOH) is coordinating this

Official Site: www.doh.wa.gov

FileName: 698-002-PREPActAuthorizationVaccinators.pdf

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STATE OF WASHINGTON DEPARTMENT OF HEALTH

STATE OF WASHINGTON. DEPARTMENT OF HEALTH . PO Box 47890 Olympia, Washington 98504-7890 . Tel: 360-236-4030 711 Washington Relay Service. PREP Act Authorization for Health Care Workers with Expired or Inactive Licenses to Administer COVID-19 Vaccines . The Washington State Department of Health and its partners are working diligently to implement

Download: PREP_Act_Authorization_Retired_Providers.pdf

From: wmc.wa.gov

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WASHINGTON STATE COVID 19 POINT OF CARE TEST RESULT …

Revised: 26-Jan-21 WASHINGTON STATE COVID-19 POINT OF CARE TEST RESULT REPORT FORM Complete one form per result . Submit by fax to the Washington State Department of …

Download: POC-COVIDReportingForm.pdf

From: doh.wa.gov

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Provider Agreement (F245 397 000)

provider status, (e.g. Licensing, certification, registration, disciplinary action, limitation to privileges); federal tax information changes; and location, payment or correspondence addresses. Department health care provider standards may be found in WAC 296-20-01030 (Minimum Health Care Provider Network Standards) and WAC 296-20-01040

Download: F245-397-000.pdf

From: lni.wa.gov

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STATE OF WASHINGTON DEPARTMENT OF HEALTH

Washington State Department of Health. “Medical test site” is the term used in Washington law to denote a laboratory or “any facility or site, public or private, which analyzes materials derived from the human body for the purposes of health care, treatment, or screening.”

Download: covid-19-antigen-letter-to-partners.pdf

From: hca.wa.gov

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Washington State Department of Health Healthcare

Washington State Department of Health Healthcare Professional Credentialing Requirements October 2012 For more information contact: Washington State Department of Health Health Systems Quality Assurance PO Box 47877 Olympia, Washington 98504-7850 …

Download: D089F0EE00E35CAFEA41A068041F7EC9.pdf

From: digitalarchives.wa.gov

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Washington State Department of Health Health Care

Washington State Department of Health Health Care Professional Credentialing Requirements January 2007 For more information or additional copies of this report contact: Washington State Department of Health Health Professions Quality Assurance PO Box 47860 Olympia, Washington 98504-7860 360/236-4985 www.doh.wa.gov DOH PUB 630-112 (1-2007)

Download: 50EFED9F7671D4C6D3464050EFC8D24C.pdf

From: digitalarchives.wa.gov

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STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND …

Washington State, residential services and supports providers must continue to operate under the Safe Start for Long-Term Care Plan under Governor’s Proclamation 20-66. Residential Care Services and the Department of Health are finalizing revised Safe Start for Long-Term Care

Download: 020-019.pdf

From: dshs.wa.gov

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BHRD Provider Manual

King County provides behavioral health services in accordance with best practice guidelines, rules and regulations, and policies and procedures set forth by the Health Care Authority, Washington State Administration Codes (WAC), and Center for Medicare and Medicaid Services (CMS), and contracted Managed Care Organizations (MCOs).

Download: BHRD_Provider_Manual.ashx?la=en

From: kingcounty.gov

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Disabled Parking Application for Individuals

Once you and your healthcare provider have completed the appropriate sections, take this application AND A SEPARATE . signed authorization from your healthcare provider to any vehicle licensing office. or mail to: Special Plate Unit, Department of Licensing, PO Box 9043, Olympia, WA 98507. Applicant. PRINT. or . TYPE. Name (Last, First, Middle

Download: 420073.pdf

From: dol.wa.gov

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STATE OF WASHINGTON DEPARTMENT OF HEALTH

Washington State Department of Health (DOH) announced an outbreak of hepatitis A (HAV) within Washington state on July 30, 2019. Multiple states across the country have reported outbreaks of HAV, primarily among persons experiencing homelessness and persons who use drugs.

Download: WA-Bulletin-Letter-on-Hepatitis-A.pdf

From: uhcprovider.com

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Health Services Washington DOC Health Plan (600 HA001, R

The Washington DOC Health Plan defines which services are medically necessary. The WA DOC Health Plan is not a contract or a guarantee of services to incarcerated individuals. The WA DOC Health Plan describes the health and mental health care services available to incarcerated individuals, as well as the services that are limited or not available.

Download: 600-HA001.pdf

From: doc.wa.gov

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PROCLAMATION BY THE GOVERNOR AMENDING

Department of Health – Healthcare Worker Licensing . WHEREAS, on February 29, 2020, I issued Proclamation 20-05, proclaiming a State of Emergency for all counties throughout Washington State of as a result of the coronavirus disease 2019 (COVID-19) outbreak in …

Download: 20-32 - COVID-19 DOH Healthcare Worker Licensing (tmp).pdf

From: governor.wa.gov

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STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND …

STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES Aging and Long-Term Support Administration PO Box 45600, Olympia, Washington 98504-5600 May 14, 2020 ALTSA: CCRSS #2020-018 INFECTION PREVENTION ASSESSMENTS FOR CCRSS SETTINGS Dear Certified Community Residential Services and Supports Provider:

Download: 020-018.pdf

From: dshs.wa.gov

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Sterilization Billing Guide

Washington Apple Health means the public health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the children's health insurance program (CHIP), and state-only …

Download: Sterilization-bg-20201001.pdf

From: hca.wa.gov

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Provider Directory with Branches, Counties & Services

Department of Health Services Division of Quality Assurance 06/01/2021 PCAs & Branches Provider Directory with Branches, Counties & Services County Accredited Participation Date Administrator Region Sub. Administrator Main Office Counties Served: KENOSHA MILWAUKEE OZAUKEE RACINE WASHINGTON WAUKESHA PCA296 296 100050174 1672 S 9TH ST ACCESSIBLE

Download: pcadir.pdf

From: dhs.wisconsin.gov

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STATE OF WASHINGTON DEPARTMENT OF HEALTH

STATE OF WASHINGTON. DEPARTMENT OF HEALTH. Olympia, Washington 98504 . September 20, 2019 . Re: Clarification of opioid prescribing rules . Dear Provider, The Washington State Department of Health and its partner boards and commissions have received reports of patients on chronic opioid therapy whose opioids have been rapidly tapered or

Download: Clarification-opioid-rules_9-20-2019.pdf

From: wmc.wa.gov

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WASHINGTON COUNTY Department of Health and Human …

Washington County Department of Health and Human Services, Public Health Division, continued Page 2 . Amy Manchester Harris, MPA, CSSBB, PH Program Supervisor 503 -8463640, Fax: 503 3644 Disease Control & Prevention (DCAP) [email protected]

Download: Washington.pdf

From: oregon.gov

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PROVIDER

AK: 800 -722 4714, option 4 WA & AK Fax: 425 -918 4937 P.O. Box 327 MS 243

Download: 006563.pdf

From: premera.com

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DEPARTMENT OF HEALTH AND HUMAN SERVICES …

Washington, D.C. 20201 [Name redacted] (the “Agency”) is a provider of home health care for, among others, postoperative total knee and hip joint replacement patients in [city and state names redacted] (the “City”). Many of the total joint replacement patients that the …

Download: AO-07-16.pdf

From: oig.hhs.gov

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CLINIC HOURS AND PROVIDER/ PUBLIC HEALTH Provider …

TUBERCULOSIS CLINICS, COMP REHENSIVE TB SERVICES (September 2019) CT TB Clinics and Providers_ 9/24/19 page 1 CLINIC NAME AND ADDRESS TOWN LOCATION CLINIC HOURS AND

Download: tb_clinics.pdf

From: portal.ct.gov

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PROVIDER MANUAL

Apple Health Medicaid 2020 The Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements change. Providers can access the most current Provider Manual at www.MolinaHealthcare.com. Last Updated: 08/2020 Page 1 Molina Healthcare of Washington, Inc. Medicaid Provider Manual

Download: 2020_MedicaidProviderManual_MHW_508.pdf

From: molinahealthcare.com

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PROVIDER AGREEMENT CITY AND FEDERALLY PURCHASED …

Washington, D.C., Department of Health, Immunization Program 1131 Spring Road, NW Washington, DC 20010 Phone (202) 576-7130 Fax (202) 576-6418 PROVIDER PROFILE CITY AND FEDERALLY PURCHASED VACCINE All District approved public and private health care providers participating in the VFC program and receiving city

Download: vfc_provider_enrollment.pdf

From: dchealth.dc.gov

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Molina Healthcare

Molina Healthcare of Washington, Inc. Medicare Advantage Provider Manual 4 Any reference to Molina Healthcare Members Means Molina Healthcare Medicare Members. 2. Addresses and Phone Numbers . Molina Healthcare of Washington, Inc. PO Box 4004 Bothell, WA 98041- 4004 . Contracting Department

Download: provider-manual-wa.pdf

From: molinahealthcare.com

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DEPARTMENT OF HEALTH HUMAN SERVICES Centers tor M …

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers tor M '>dicare & Medicaid Services AdministrMor MAY 6 2005 . Washington, LC 20201 . National Provider Identifier Activities Begin in 2005 . Dear Health Care Provider: The Centers for Medicare & Medicaid Services (CMS

Download: NPIdearprovider.pdf

From: cms.gov

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Executive Office of Health and Human Services Department

of the Governor and the Public Health Council, and in order to assure the maintenance of public health during the continuing public health emergency, I issue the following Order to rescind and replace the March 29, 2020 Order titled Maximizing Health Care Provider Availability: 1.

Download: download

From: mass.gov

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Washington Health Corps

Is the National Health Service Corps the same as the Washington Health Corps? No. The National Health Service Corps awards scholarships and loan repayment from Health Resources & Services Administration (HRSA). Please contact the Department of Health for more information regarding the National Health Service Corps.

Download: FAQ.WashingtonHealthCorps.pdf

From: wsac.wa.gov

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DEPARTMENT OF HEALTH & HUMAN SERVICES

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 March 19, 2020 Jay Inslee Governor State of Washington Office of the Governor PO Box 40002 Olympia, WA 98504-0002 Re: Section 1135 Flexibilities Requested in March 15, 2020 Communication

Download: wa-section-1135-appvl.pdf

From: medicaid.gov

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May 7, 2020 Secretary U.S. Department of Health and Human

U.S. Department of Health and Human Services 200 Independence Avenue SW Washington, DC 20201 Department for the Provider Relief Fund was for the express purpose “to prevent, prepare for, Washington Post (Apr. 16, 2020)

Download: HHS.CMS_. 2020.5.7. Letter re Provider Fund and Advance Payments.HE_.pdf

From: waysandmeans.house.gov

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DEPARTMENT OF LABOR AND INDUSTRIES

F248-011-000 Provider Account Application 01-2021 Page 1 of 7. STATE OF WASHINGTON . DEPARTMENT OF LABOR AND INDUSTRIES. INSURANCE SERVICES ― HEALTH SERVICES ANALYSIS . PO Box 44261 • Olympia Washington 98504 -4261 . Dear Provider,

Download: F248-011-000.pdf

From: lni.wa.gov

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Initial Evaluation & Management of Blunt Thoracic Aortic

Washington State Department of Health Community Health Systems Office 3/18/2008 Trauma Clinical Guideline: Initial Evaluation & Management of Blunt Thoracic Aortic Injury . The Trauma Medical Directors’ Technical Advisory Committee is an open forum for the medical directors of designated trauma

Download: Provider-Resources-Trauma-BluntThoracicAorticInjury.pdf

From: uwmedicine.org

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DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the

DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary Office of the General Counsel Washington, D.C. 20201 June 7, 2021 The Honorable Greg Abbott Governor of Texas

Download: HHS-Letter-to-TX-06-07-2021-1.pdf

From: kxan.com

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DEPARTMENT OF VETERANS AFFAIRS HEALTH CARE …

DEPARTMENT OF VETERANS AFFAIRS HEALTH-CARE PROVIDER OF THE Any health-care provider excluding physicians. Nominees must N.W., Washington, DC 20006 to arrive by September 7th. Submit one copy of your application packet and it should conform to the instructions contained

Download: health_care_provider_year.pdf

From: legion.org

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S 0315.2 By Senators Hasegawa, Kuderer, Liias, Lovelett

15 health care provider to negotiate reimbursements based on quality and 16 availability of services for residents in each county as described in 17 section 109 of this act. 18 (6) "Department" means the Washington state department of health. 19 (7) "Eligible nonresident" shall be defined by the board of

Download: 5204.pdf

From: lawfilesext.leg.wa.gov

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Department of Health and Human Services

In Washington, the State agency is responsible for administration of the Medicaid program. Through an agreement with the State agency, the Washington State Department of Social and Health Services (Health Services) was delegated authority to administer, …

Download: 91402018.pdf

From: oig.hhs.gov

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University of Washington Disability Accommodation Health

Name of Health Care Provider -Employee Patient No./Date of Birth Health Care Provider's Phone -I hereby authorize the above-named health care provider to complete this form and disclose to the University of Washington and its authorized representatives the following information related to my health care: the diagnosis(es) of relevant conditions,

Download: health-care-provider-statement.pdf

From: hr.uw.edu

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Vermont Department of Mental Health (DMH) Provider Survey

Vermont Department of Mental Health (DMH) Provider Survey 1 - PROVIDER INFORMATION Provider Name * Clara Martin Center Washington County Mental Health Services - 62 Barre Street (Single Steps) Washington County Mental Health Services - 7 St. Paul (Segue)

Download: DMH Provider Survey.pdf

From: dvha.vermont.gov

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Maryland Department of Health Office of Long Term Services

M. Local Health Department (LHD) - Local health departments administer and enforce state, county and municipal health laws, regulations and programs in Maryland's 23 counties and Baltimore City and are overseen by the Public Health Services of the Department.

Download: 2021 Comprehensive Case Management and Supports Planning Services.pdf

From: mmcp.health.maryland.gov

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Department of Veterans Affairs VHA DIRECTIVE 1065 Veterans

Department of Veterans Affairs VHA DIRECTIVE 1065 Veterans Health Administration Transmittal Sheet Washington, DC 20420 December 22, 2020 PRODUCTIVITY AND STAFFING GUIDANCE FOR SPECIALTY PROVIDER GROUP PRACTICE 1. REASON FOR ISSUE: This Veterans Health Administration (VHA) directive

Download: ViewPublication.asp?pub_ID=9130

From: va.gov

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2017 Washington State Recreation and Conservation Plan

2017 Provider Survey Results Page 3 Ike Nwankwo, Western Washington Growth Management Services Manager, Department of Commerce Melinda Posner, Environmental Planner, Lands Division, Washington Department of Fish and Wildlife Michael Shiosaki, Recreation and Conservation Funding Board Citizen Member, Planning &

Download: SCORP-Provider-Survey-2017-FINAL-091517.pdf

From: rco.wa.gov

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DSS 4357EL WGIUPD GENERAL INFORMATION SYSTEM 07 18 …

99 Washington Avenue, Suite 611 Albany, New York 12210-2806 Questions may be directed to: (518) 486-9440 Institutional providers, e.g. inpatient, clinics, certified home health agencies etc., not currently enrolled as a NYS Medicaid Provider should request a provider enrollment package from: New York State Department of Health

Download: 00ma013.pdf

From: health.ny.gov

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MENTAL HEALTH RESOURCE GUIDE

Department of Human Services https://dhsservices.iowa.gov Help Center (855) 889-7985 Local DHS (800) 642-6249 • Medical, hawk-I, Medicaid/Title 19 Health Ins. Market Place https://www.healthcare.gov Help Center (800) 319-2596 Community Health Center of SE Iowa (319) 728-7400 or (319) 768-5858 Washington County Mental Health and Disability

Download: Washington-County-Mental-Health-Guide-for-the-Provider

From: washingtoncounty.iowa.gov

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The Honorable Alex Azar Secretary Department of Health and

Washington, DC 20201 Dear Secretary Azar, We write today regarding the Department of Health and Human Services (HHS) recent decision to lift reporting requirements for health care providers who received federal aid through the Provider Relief Fund (PRF).1 Just last week, we wrote to you raising concerns regarding which

Download: porter_pascrell_letter_-_reporting_of_prf_dollars.pdf

From: pascrell.house.gov

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Bulletin: Updates on Maryland’s COVID Week 9 Allocation To

Bulletin: Updates on Maryland’s COVID-19 Vaccine Plan (Week 9 Allocation). To: All COVID-19 Vaccine Providers Registered in ImmuNet, including but not limited to Hospitals, Federally Qualified Health Centers (FQHCS), and Local Health Departments From: Bryan Mroz, Assistant Secretary (Act.), Maryland Department of Health (MDH) Date: February 4, 2021

Download: 2021.02.04 - MDH Notice - Bulletin COVID 19 Vaccine Distribution Updates (Week 9).pdf

From: phpa.health.maryland.gov

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The Honorable Alex Azar Secretary U.S. Department of

April 8, 2019 . The Honorable Alex Azar . Secretary . U.S. Department of Health and Human Services . 200 Independent Avenue S.W. Washington, D.C. 20201

Download: action_needed.pdf

From: health.ny.gov

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Government Business Division Policies and Procedures

Secondary Department(s): Behavioral Health Claims Department National Customer Care - Clinical Services EXCEPTIONS: Kentucky: Health Care Service: means health care procedures, treatments, or services rendered by a provider within the scope of practice for which the provider is licensed.

Download: KYKY_CAID_RetrospectiveReview.pdf

From: mediprovider.anthem.com

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MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES

WASHINGTON WAYNE WEBSTER by these policies and procedures could result in the termination of your contract with the Department of Health and Senior Services and the recovery of funds paid to you for services rendered. You may submit a written request for a copy of the Provider Billing Guidelines. I CERTIFY THAT THE INFORMATION I PROVIDED IS

Download: cc-35form.pdf

From: health.mo.gov

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320 West Washington Street Illinois Department of

Illinois Department of Insurance Office of Consumer Health Insurance 320 West Washington Street Springfield, IL 62767 For All Other Complaints: You must attach copies of correspondence between you and the company, a copy of the patient's health NOTE: The release of identifiable health information may require written authorization from the patient

Download: ProviderHealthCareComplaintForm.pdf

From: insurance.illinois.gov

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FAQ Department Of Health Washington Provider

How to search washington state department of health?

It gives users a variety of searching, filtering, and data exporting options. We implemented this system to better serve our high-volume customers. You may search using a credential number, individual name or business name. The Washington State Department of Health presents this information as a service to the public.

Who are the health care providers in washington state?

With actively practicing providers fully engaged in treating patients along with administering vaccines, retired and inactive health care providers can play a key role in taking on the vital work of vaccinating Washingtonians. Find materials on our Resources and Recommendations page. Materials are available in many languages.

How to search for credential number in washington state?

It gives users a variety of searching, filtering, and data exporting options. We implemented this system to better serve our high-volume customers.”. You may search using a credential number, individual name or business name. The Washington State Department of Health presents this information as a service to the public.

Who is the department of social and health services?

Economic Services Administration. Nearly one out of every four Washington citizens turns to the Department of Social and Health Services' Economic Services Administration for assistance with cash, food, child support, child care, disability determination, transition to employment, and other services. Core services focus on:

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