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Behavioral Health Screening, Referral, and Coding Requirements Dear Provider, Simply Healthcare Plans (SHP) is working to improve quality of care for our members with behavioral health issues. To

How to fill out behavioral health screening referral

How to fill out a behavioral health screening referral:

1. Start by accessing the appropriate referral form provided by your healthcare provider or organization. This form is typically used to refer individuals to behavioral health services.
2. Begin filling out the necessary personal information, such as the patient's name, date of birth, address, and contact details. Ensure that this information is accurate and up-to-date.
3. Provide relevant healthcare insurance information, including policy numbers and any required authorization codes. This will help ensure a smooth processing of the referral.
4. Include a brief summary of the patient's behavioral health concerns or reason for seeking a referral. Be concise but provide enough information for the receiving clinician to understand the nature of the issue.
5. Note any current medications or past treatments that the patient has undergone for behavioral health concerns. This information can assist the receiving clinician in developing an appropriate care plan.
6. If the referral is coming from another healthcare professional, include their contact information and any additional notes they have provided regarding the patient's condition.
7. Check that the referral form is complete, legible, and signed by the appropriate parties. Missing or illegible information may result in processing delays or difficulties.
8. Submit the completed referral form as instructed by your healthcare provider or organization. This may involve mailing, faxing, or delivering the form personally.
9. Follow up with the receiving clinician or organization to ensure that the referral has been received and is being processed. Maintain communication to stay informed about the next steps.

Who needs a behavioral health screening referral?

1. Individuals who are experiencing symptoms or concerns related to their mental health or emotional well-being may require a behavioral health screening referral. This can apply to people of all ages, from children to older adults.
2. Patients who have received a preliminary evaluation by a healthcare professional, such as a primary care physician, and require further assessment or specialized treatment for their behavioral health concerns may need a referral.
3. People who have been referred by their insurance providers or employer's health programs for behavioral health screening or treatment may also require a referral. This ensures that the necessary authorization and coverage are in place for the recommended services.

For pdfFiller’s FAQs

What is behavioral health screening referral?

Behavioral health screening referral is a process of identifying individuals who may benefit from mental health or substance abuse services and referring them to appropriate resources for evaluation and treatment.

Who is required to file behavioral health screening referral?

Healthcare providers, social workers, school counselors, or anyone who interacts with individuals and suspects they may have behavioral health issues are required to file behavioral health screening referral.

How to fill out behavioral health screening referral?

To fill out a behavioral health screening referral, the individual's information, reason for referral, and any relevant observations or concerns should be documented on the referral form provided by the appropriate agency or organization.

What is the purpose of behavioral health screening referral?

The purpose of behavioral health screening referral is to help individuals receive timely assessment and treatment for mental health or substance abuse issues, ultimately improving their overall well-being and quality of life.

What information must be reported on behavioral health screening referral?

Behavioral health screening referral should include the individual's name, contact information, reason for referral, any observed behavioral or emotional symptoms, and relevant background information such as medical history or past treatments.

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