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NY PDS-11 2018 free printable template

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GENERAL APPLICATION INSTRUCTIONS These instructions are intended to guide you in completing your Application to become a CASAC or CASAC Trainee. If you do not complete the CASAC process by the expiration date of your CASAC Trainee Extension you will need to submit a new application and a 100 Application It is suggested that you contact the there may be paperwork that you do not have to re-submit. You must select and apply for one of the following options Option 1 - CASAC Trainee EXAM ELIGIBLE...
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How to fill out NY PDS-11

01
Begin by downloading the NY PDS-11 form from the New York State Department of Health website.
02
Fill in your personal information, including your full name, address, and date of birth at the top of the form.
03
Indicate your specific Medicaid or health coverage plan in the designated section.
04
Provide information on your income, including any sources of income and total monthly earnings.
05
List any dependents you may have, including their names and birth dates.
06
Acknowledge and sign the certification section of the form confirming the accuracy of the information provided.
07
Review the entire form for any errors or omissions before submitting it.
08
Send the completed form to the appropriate office as indicated in the form's instructions.

Who needs NY PDS-11?

01
The NY PDS-11 form is required for individuals applying for Medicaid or seeking long-term care services in New York State.
02
It is also necessary for those who need to report changes in their Medicaid eligibility status.
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CADC I 315 hours of AOD specific education from a CCAPP Educational Institute approved school. 255 hour field practicum (done through your school in cooperation with your employer) 3,000 hours work experience. Obtain a passing score on the IC&RC Alcohol and Drug Counselor (ADC) written exam.
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Avg Salary Drug & alcohol counselors earn an average yearly salary of $48,660. Wages typically start from $29,640 and go up to $74,370.
If you want CADC I certification and you have an associate's degree in a related field, you need just 2,080 hours of supervised work experience. For the CADC II certification, you will need to complete 6,000 hours of supervised work experience, and your educational background has no bearing on this requirement.
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Document completion of education and training consisting of a minimum of 350 clock hours. Successfully complete a criminal background check review; and. Pass the International Certification and Reciprocity Consortium, Inc. (IC&RC) examination for Alcohol and Drug Counselors (ADC).
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As of Nov 6, 2022, the average annual pay for a Casac T in Albany is $45,579 a year. Just in case you need a simple salary calculator, that works out to be approximately $21.91 an hour. This is the equivalent of $876/week or $3,798/month.
The CSAC applicants are required to complete 2,000 hours of work experience. 100 hours must be completed under direct supervision while providing counseling to a client. Only 50 hours may be group supervision hours while the other 50 must be individual supervision.
To become a Certified Alcohol Drug Counselor I (CADC-I). you must successfully complete the certificate program and pass the portfolio review and written examination of the California Consortium of Addiction programs and Professionals (CCAPP).
The average Substance Abuse Counselor salary in Virginia is $56,150 as of August 29, 2022, but the range typically falls between $49,500 and $62,960.
How much does a Casac make in Albany, New York? As of Nov 7, 2022, the average annual pay for a Casac in Albany is $43,421 a year.
180 hours of experience performing substance abuse tasks with clients under supervision. The 120 hours of didactic training in substance abuse counseling must include a minimum of 8 clock hours in each of the following 13 areas: 1. Dynamics of human behavior; 2.
4,000 hours of appropriate work experience and the 85 clock hours in Section 1 of the education and training related to knowledge of substance use disorders and 15 hours of addiction specific ethics for counselors.
Certified Substance Abuse Counselor (CSAC)
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NY PDS-11 is a specific form used in New York to report payments made to certain recipients, particularly in connection with public entities and their programs.
Entities that make payments to individuals or organizations that receive public funds or participate in public programs are required to file NY PDS-11.
To fill out NY PDS-11, obtain the form from the appropriate state department, provide accurate recipient information, detail the payment amounts, and submit the form by the specified deadlines.
The purpose of NY PDS-11 is to ensure transparency and accountability in the reporting of payments made with public funds, thereby facilitating oversight.
Information that must be reported includes the recipient's name, address, identification number, and details about the payment amounts and purposes.
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