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MENTAL HEALTH ADDENDUM TO THE SOUTH DAKOTA MEDICAID PROVIDER AGREEMENT FOR MENTAL HEALTH SERVICES PROVIDED BY PSYCHOLOGISTS, SHIP, LPC MH, AND CLINICAL NURSE SPECIALISTS This document serves as a
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How to fill out mental health addendum:

01
Read the instructions: Start by carefully reading the instructions provided for filling out the mental health addendum. This will give you a clear understanding of what information is required and how it should be presented.
02
Gather relevant information: Collect all the necessary information that needs to be included in the mental health addendum. This may include any previous mental health diagnoses, medications currently being taken, therapy sessions attended, and other relevant details.
03
Be honest and thorough: When filling out the addendum, it is important to be honest and provide a thorough account of your mental health history. Include any relevant details that could help in accurately assessing your mental health status, such as any past hospitalizations or major life changes that may have impacted your mental well-being.
04
Seek professional help if needed: If you are unsure about certain aspects of the addendum or need assistance in accurately portraying your mental health history, consider reaching out to a mental health professional for guidance. They can provide valuable insights and ensure that the addendum is completed correctly.

Who needs a mental health addendum?

01
Individuals applying for certain jobs or licenses: Some employers or licensing boards require applicants to provide a mental health addendum as part of the application process. This is often the case for positions that involve working with vulnerable populations or require a high level of responsibility.
02
Students applying for educational programs: Certain educational programs, such as those in the healthcare field, may request a mental health addendum from prospective students. This is to ensure the safety and well-being of both the student and those they may come into contact with during their studies.
03
Individuals seeking disability accommodations: Those seeking disability accommodations, such as in the workplace or educational settings, may be asked to provide a mental health addendum to support their request. This helps to establish the need for specific accommodations based on their mental health condition.
It is important to note that the specific requirements for a mental health addendum may vary depending on the institution or organization requesting it. It is always advisable to carefully review the instructions provided and ask for clarification if needed to ensure that the addendum is completed accurately and in line with the expectations.
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The mental health addendum is a supplemental document that provides information about an individual's mental health history and treatment.
Individuals who have a history of mental health issues or who are currently receiving mental health treatment are required to file a mental health addendum.
The mental health addendum can be filled out by providing details about the individual's mental health diagnosis, treatment providers, medications, and any hospitalizations or outpatient treatment.
The purpose of the mental health addendum is to provide a comprehensive overview of an individual's mental health history and treatment, allowing for better understanding and support.
The mental health addendum must include details about the individual's mental health diagnosis, treatment providers, medications, and any hospitalizations or outpatient treatment.
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