Resident of Franklin County Sample Clauses

Resident of Franklin County a. Any resident of Franklin County as defined in Section 2.50 of this Contract may be eligible for services of the Provider. b. ADAMH reserves the right to limit the amount, scope and duration of services provided to those consumers who are deemed eligible under paragraph c.viii. of this section. Members enrolled in SHARES using the Residency Verification Form will be enrolled in the Franklin County Temporary (90-Day) Benefit Plan.‌ c. The Provider shall review and maintain a record of documentation verifying that a person seeking and/or being referred for ADAMH Services is a resident of Franklin County prior to enrolling the individual with the ADAMH Board. Documentation will be attached to the Member’s SHARES enrollment form or member update enrollment form. Acceptable documentation includes: i. valid driver’s license or state ID ii. Copy of MITS Medicaid Eligibility summary page iii. voter registration iv. vehicle registration v. officially filed federal, state or local tax form or payment vi. public benefits, utility, school, employment, military, real estate or other record confirming a Franklin County permanent mailing address vii. record from Franklin County homeless shelter or street outreach worker if the client does not use a homeless shelter‌ viii. signed Residency Verification Form, if the person has no other available documentation
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Related to Resident of Franklin County

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