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Mary Killough, Acting Director Senior HelpLine: 1-800-252-8966 (711 TRS)

Current Providers

Current Community Care Program providers who would like to file for an expansion, please complete the application for your PSA. 

Application Instructions
Change of Address Form - Local Office
Change of Address Form - Admin Office

PSA 1 Expansion

PSA 2 Expansion

PSA 3 Expansion

PSA 4 Expansion

PSA 5 Expansion

PSA 6 Expansion

PSA 7 Expansion

PSA 8 Expansion

PSA 9 Expansion

PSA 10 Expansion

PSA 11 Expansion

PSA 12 Expansion

PSA 13 Expansion

ADS  New Site Expansion