
Get the free FSSA DMHA: Home - IN.gov
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Eric Holcomb, Governor
State of IndianaDivision of Disability and Rehabilitative Services
First Steps
402 W. WASHINGTON STREET, P.O. BOX 7083
INDIANAPOLIS, IN 462077083
18005457763To: Bureau of Developmental
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How to fill out fssa dmha home

How to fill out fssa dmha home
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To fill out the FSSA DMHA home application, follow these steps:
02
Gather all necessary personal information, such as your full name, address, phone number, and social security number.
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Provide information about your current living situation, including whether you are homeless or at risk of becoming homeless.
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Fill out the section that asks about your income. Include details about any sources of income, such as employment, government assistance, or disability benefits.
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Answer the questions related to your health status and any physical or mental disabilities you may have.
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Submit the filled-out application to the designated FSSA DMHA office either in person, by mail, or online if available. Make sure to include any supporting documents required.
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What is fssa dmha home?
FSSA DMHA home stands for Family and Social Services Administration Division of Mental Health and Addiction home.
Who is required to file fssa dmha home?
Providers of mental health and addiction services are required to file fssa dmha home.
How to fill out fssa dmha home?
FSSA DMHA home can be filled out online through the designated portal provided by the Division of Mental Health and Addiction.
What is the purpose of fssa dmha home?
The purpose of fssa dmha home is to report and track mental health and addiction services provided by different providers.
What information must be reported on fssa dmha home?
Information such as services provided, number of patients served, demographics, and outcomes must be reported on fssa dmha home.
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