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KENTUCKY MEDICAID INITIAL BEHAVIORAL HEALTH SERVICE REQUEST FORM Fax To: 877-544-2007 Initial Service Requests The services below can be registered without a clinical review once per member per calendar
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Kentucky Medicaid initial behavioral is a form used to assess the behavioral health needs of Medicaid beneficiaries in Kentucky.
Healthcare providers and facilities are required to file Kentucky Medicaid initial behavioral for their patients who are Medicaid beneficiaries.
Kentucky Medicaid initial behavioral can be filled out by providing detailed information about the patient's behavioral health needs, treatment plans, and outcomes.
The purpose of Kentucky Medicaid initial behavioral is to ensure that Medicaid beneficiaries receive appropriate behavioral health services and support.
Information such as patient demographics, diagnosis, treatment goals, progress notes, and outcomes must be reported on Kentucky Medicaid initial behavioral.
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