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Get the free HIV Case Management Contact Hours Approval Request Form - ncdhhs

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This form is used to request approval for training sessions by HIV Case Management Supervisors and Case Managers, ensuring they meet the required 20 hours of continuing education annually for recertification.
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How to fill out HIV Case Management Contact Hours Approval Request Form

01
Begin by downloading the HIV Case Management Contact Hours Approval Request Form from the official website.
02
Fill in your personal details including your name, contact information, and any relevant identification numbers.
03
Provide details about the training or activity for which you are seeking approval, including dates, locations, and description.
04
Specify the number of contact hours you wish to claim for the training or activity.
05
Attach any necessary documentation such as certificates or agendas that support your request.
06
Review the form for accuracy and completeness before submitting.
07
Submit the completed form to the designated email or mailing address provided on the form.

Who needs HIV Case Management Contact Hours Approval Request Form?

01
Healthcare professionals involved in HIV case management who want to receive credit for continuing education.
02
Organizations that provide HIV case management services and need to document staff training.
03
Individuals seeking certification that requires proof of continuing education in HIV case management.
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People Also Ask about

What is HIV case management? An HIV case manager can help you get the services you need to make your life stable and healthy. Working with different agencies to get different services can be confusing. An HIV case manager works with these agencies to help keep track of the different services you need.
What is HIV case management? An HIV case manager can help you get the services you need to make your life stable and healthy. Working with different agencies to get different services can be confusing. An HIV case manager works with these agencies to help keep track of the different services you need.
Infectious Disease Specialist This doctor is trained to diagnose and manage infections like HIV. An infectious disease expert also can watch for other infections that are more likely to develop if you have HIV, including hepatitis C, tuberculosis, and certain types of pneumonia.
Checking with your insurance provider: If you have health insurance, your insurance company can connect you with a case manager or provide information on available case management services. Searching online: Many online resources can help you find case managers, including websites such as the Institute on Aging.
Or, call one of these toll-free numbers to find local HIV case management programs: CDC: 1-800-CDC-INFO (1-800-232-4636) National Institutes of Health: 1-800-448-0440.
Or, call one of these toll-free numbers to find local HIV case management programs: CDC: 1-800-CDC-INFO (1-800-232-4636) National Institutes of Health: 1-800-448-0440.

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The HIV Case Management Contact Hours Approval Request Form is a document used by healthcare professionals to request approval for specific hours spent on HIV case management activities that can be eligible for continuing education or reimbursement.
Healthcare professionals involved in the provision of HIV case management services, such as case managers, social workers, and counselors, are typically required to file this form to ensure their contact hours are recognized.
To fill out the form, individuals must provide their personal information, details about the case management activities conducted, the number of contact hours, and any relevant supporting documentation required by the approving authority.
The purpose of this form is to formally document and seek approval for the hours spent on HIV case management, ensuring that the time dedicated to these activities is acknowledged for training, certification, and funding purposes.
The information that must be reported includes the provider's name, contact information, specific activities engaged in, the duration of contact hours, date of services, and any relevant case identifiers or patient confidentiality considerations.
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