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PROVIDER APPLICATION
New Providers Application Process for Choice, SSBG and Title 3 Programs
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Complete new provider application packet and return as indicated on the packet checklist.
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New providers must currently be serving at least one client under another funding source to be considered for application.
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The establishment of a contractual agreement provides no guarantee of referrals for service delivery.
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Request for a complete application packet, including the contract, and any questions can be directed to: info@agingihs.org​
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