CCTU Waiver Request Info

What is required to make a Waiver Request?

You may now use GA+SCORE to submit an online waiver request! At a minimum, you will need information such as the following. Please ensure you have the required components before beginning the submission:

  • Contact information for DFCS case manager, supervisor, and county director
  • Contact information for RBWO or non-contracted agency, as applicable
  • Child's name, Date of Birth, Legal County of Residence
  • Summary of Child's Needs/Purpose of Waiver
  • Effective Date

Documents and Additional Information

If you are requesting a waiver renewal, you must upload a copy of the previous waiver letter. In addition, depending on the type of waiver you are requesting, please have the following available:
 
Waiver Type Requirements
Program Designation, including:
  • RBWO Program Designation Waiver
  • Specialized Foster Care Waiver
  • Specialty Medically Fragile Waiver
  • Maximum Watchful Oversight Waiver
  • Specialty Maximum Watchful Oversight Waiver
 Universal Application
(Frequently Asked Questions)
The Universal Application (Child Placement Referral Form) is now in Georgia SHINES! For DFCS Field Personnel only, the Child Placement Referral Form tab is located in the FCC stage, under the Placement tab. To take full advantage of the pre-population feature of this form, users should ensure that the Person Detail, Health Detail, and Education Detail pages are completed in their entirety prior to launching the form. Many of the fields on the form pre-populate with data already entered in Georgia SHINES.
OPM Capacity Waiver or
OPM Respite Waiver		 RBWO Capacity Waiver Request
OPM Sleeping Arrangements Waiver Formal Request Memo
CCI Under Age Waiver Formal Request Memo
  • Concurrence from the County and Regional Directors for placement in a specific facility
  • Sleeping arrangements (age of other children in the room and cottage/unit)
  • Supervision level of the child while in their care
  • The plan for the Case Manager visiting the child while in the placement
Non-Contracted Provider Waiver Non-Contracted Provider Form (Renewal Form)
PRTF Assessment Bed Funding Waiver or
PRTF Transitional Funding Waiver
 Formal Request Memo
CSU Transitional Funding Waiver Formal Request Memo
 (.doc, .docx, .pdf, or Open Office formats accepted)
 

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