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How Can We Help?

I am contacting M & S Managed Care about:
I am interested in ICWP case management for myself
I am looking for ICWP case management for a family member
I have questions about ICWP
I am a professional making a referral
I am currently receiving services from M & S
General question
Other
Contact Information
Preferred Contact Method
Phone
Email
Multi-line address
ICWP Information
What best describes what you need?
ICWP Case Management
Help understanding ICWP
Looking to select or change a case management agency
Help with an ICWP referral
I'm not sure
Other
Are you currently enrolled in Georgia's Independent Care Waiver Program (ICWP)?
Yes
No
Currently Applying
I'm not sure
Do you currently have an ICWP Case Management Agency?
Yes
No
I'm not sure
If yes, are you interested in changing case management agencies?
Yes
No
I would like more Information

Referral Information

How did you hear about M & S Managed Care?
Healthcare Provider
Case Manager / Social Worker
Family or Friend
Hospital / Rehabilitation Facility
Community Organization
Internet Search
Social Media
Other

For your privacy, please do not include medical records, Social. Security numbers, Medicaid Identification Numbers, or other sensitive health information in this form.

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