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Effective Dates (paydates)
Effective Dates (1st and 16th)
Deadline Dates
Georgia Department of Juvenile Justice
Office of Residential and Community Based Services
A resource provided by The Administrative Applications Team of OTIS
Having trouble with this site? Contact ORCBS:
Monday-Friday 8am-5pm at 678-350-4809
Racquel Watson, Director
DJJ Web Site


WARNING...MORE THAN ONE REQUEST WITH THIS REQUEST ID. CONTACT MATT AND/OR GENE
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Primary Region
Click the button to the right
to show Regions. Select III for Central
District
Primary District:
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to show Districts. Select 3B for Central
Requirements
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Community Based Services
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venDeptvendor
venAppType : RBWO
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Vendor RBWO Application

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GeneralProviderLicensingAdmissionsPrimary Site
General Questions

all fields are required

Indicate whether your organization operates legally on a “for profit” or a “not-for-profit” basis:

Is this program currently a provider for DFCS that is applying to be a DJJ provider?
If yes, include a letter from Office of Provider Management (OPM) regarding their experience with your program.
(see link below for requirements)

Is this program approved to provide Medicaid Rehab Option Services (MRO)?

NOTE: Please review the document links below to ensure you submit a complete application. Links will open in a new tab/window.

Click here to view list of requirements for RBWO
Click here to view RBWO Standards



Attachments
DO NOT FORGET : attach the Food Service Worker Classification Questionnaire




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