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PARTIAL HOSPITALIZATION PRIOR (PHP) AUTHORIZATION/CONTINUED STAY DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES DIVISION SON 73 (1-2013) Clear Fields Please fax completed form to: 701-328-0371 First
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What is partial hospitalization prior php?
Partial Hospitalization Prior PHP refers to a level of care in which patients receive structured treatment for mental health or substance use disorders without being admitted to a hospital on a full-time basis.
Who is required to file partial hospitalization prior php?
Healthcare providers or facilities that offer partial hospitalization programs must file the prior authorization request for partial hospitalization prior php.
How to fill out partial hospitalization prior php?
To fill out the partial hospitalization prior php form, healthcare providers need to provide patient information, including their diagnosis, treatment plan, expected duration, and justification for the level of care.
What is the purpose of partial hospitalization prior php?
The purpose of partial hospitalization prior php is to ensure that patients receive appropriate and necessary mental health or substance use disorder treatment outside of a traditional hospital setting.
What information must be reported on partial hospitalization prior php?
The partial hospitalization prior php form requires reporting of patient information, diagnosis, treatment plan, expected duration, and justification for the level of care.
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