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SDE Form 1955 V1 Complete and use the button at the end to print for mailing. HELP MENTAL HEALTH SERVICES BY: PSYCHOLOGISTS, SHIP, LPC MH, AND CLINICAL NURSE SPECIALISTS ADDENDUM TO THE PROVIDER AGREEMENT

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What is medical assistance mental health?

Medical assistance mental health includes various services and support provided to individuals with mental health issues who qualify for medical assistance. These services can include counseling, therapy, medication management, and psychiatric evaluations.

Who is required to file medical assistance mental health?

Individuals who require mental health services and meet the eligibility criteria for medical assistance are required to file for medical assistance mental health. This may include individuals with mental health disorders, disabilities, or low income levels.

How to fill out medical assistance mental health?

To fill out medical assistance mental health, individuals need to complete the necessary application forms provided by the relevant healthcare authority or agency. These forms typically require personal information, income details, medical history, and any supporting documentation related to the mental health condition.

What is the purpose of medical assistance mental health?

The purpose of medical assistance mental health is to ensure that individuals with mental health issues have access to necessary healthcare services and support. It aims to alleviate and manage mental health conditions, improve overall well-being, and promote recovery and functioning in daily life.

What information must be reported on medical assistance mental health?

The specific information required to be reported on medical assistance mental health may vary depending on the healthcare authority or agency. Generally, it includes personal details such as name, address, contact information, income details, medical history, diagnosis, treatment plans, and any other relevant information related to the mental health condition.

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