NC NC-TOPPS Mental Health and Substance Abuse Initial Interview (Ages 12-17) 2014 free printable template

Do not mail. Enter data into web-based system. http //www. ncdhs. gov/mhddsas/nc-topps QP First Initial Last Name Please provide the following consumer information LME-MCO Assigned Consumer Record Number CNDS ID Number Medicaid ID Number optional Medicaid County of Residence Provider Internal Consumer Record Number optional Local Area Code Reporting Unit Number optional I certify that I am the QP who has conducted and com pleted this Date QP Signature interview. NC-TOPPS Mental Health and...

How to fill out NC NC-TOPPS Mental Health and Substance

How to fill out NC NC-TOPPS Mental Health and Substance Abuse

1. Obtain the NC NC-TOPPS Mental Health and Substance Abuse form from your service provider or online.
2. Read the instructions carefully to understand the purpose of the form and the information required.
3. Gather the necessary information regarding the individual receiving services, including personal details and history of mental health or substance abuse.
4. Fill out the demographic details accurately, including name, date of birth, and contact information.
5. Provide detailed information about the individual's mental health and substance use history, including diagnosis, treatment history, and current status.
6. Complete any required assessments or questionnaires as part of the form.
7. Review the completed form for accuracy and completeness before submission.
8. Submit the form to the designated agency or service provider as instructed.

Who needs NC NC-TOPPS Mental Health and Substance Abuse?

1. Individuals seeking mental health support and treatment services.
2. People with a history of substance abuse or addiction who require assessment and treatment.
3. Service providers and agencies responsible for coordinating mental health and substance abuse services.
4. Individuals eligible for state-funded mental health and substance abuse programs in North Carolina.

People Also Ask about

What does NCDHHS stand for?

NC Department of Health and Human Services.

Who leads the Ncdhhs?

Dave Richard is the Deputy Secretary for NC Medicaid, where he leads North Carolina's $14 billion Medicaid and NC Health Choice programs for DHHS.

What is the NC fast 20020 form?

The NCFAST-20020 is a prepopulated renewal form for the beneficiary to validate that current information remains the same or indicate changes and provide self-attestation of eligibility requirements, including income.

What is the mission statement of NC Medicaid?

NC Medicaid (Division of Health Benefits) is dedicated to providing access to physical and behavioral health care and services to improve the health and well-being of over 2.3 million North Carolinians.

Is NCDHHS a cabinet agency?

The head of NCDHHS (Secretary) is appointed by the Governor of North Carolina and is a member of the North Carolina Cabinet in the executive branch of the North Carolina government. The NCDHHS was created in 1971.

What is the purpose of Ncdhhs?

The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians, especially our most vulnerable citizens – children, elderly, disabled and low-income families.

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What is NC NC-TOPPS Mental Health and Substance Abuse?

NC NC-TOPPS (North Carolina Treatment Outcome and Performance Pilot System) is a data collection and reporting system used by providers of mental health and substance abuse services in North Carolina to monitor treatment outcomes and performance.

Who is required to file NC NC-TOPPS Mental Health and Substance Abuse?

Providers of mental health and substance abuse services in North Carolina are required to file NC NC-TOPPS as part of their compliance with state regulations and to ensure quality of care.

How to fill out NC NC-TOPPS Mental Health and Substance Abuse?

To fill out NC NC-TOPPS, providers should complete the necessary forms online or through designated software, ensuring that all required client information, treatment details, and assessment outcomes are accurately reported.

What is the purpose of NC NC-TOPPS Mental Health and Substance Abuse?

The purpose of NC NC-TOPPS is to evaluate and improve the quality of care provided to individuals with mental health and substance use disorders in North Carolina by collecting and analyzing treatment outcome data.

What information must be reported on NC NC-TOPPS Mental Health and Substance Abuse?

NC NC-TOPPS requires providers to report demographic information, assessment results, treatment plans, service delivery details, and client outcomes to ensure a comprehensive understanding of the effectiveness of the treatment provided.