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Healthy Blue
Medicaid Managed CareBehavioral Health Initial Review Form
This form is for inpatient, residential treatment, PHP or IOP. Please submit via the
provider website at https://providers.healthybluela.com
We are not affiliated with any brand or entity on this form
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How to fill out behavioral health initial review

How to fill out behavioral health initial review
01
Start by gathering all necessary information, such as the patient's personal details, medical history, and any relevant documentation.
02
Ensure you have the appropriate forms or templates required for filling out the behavioral health initial review.
03
Begin by entering the patient's demographic information, including their name, date of birth, contact details, and insurance information.
04
Document the reason for the behavioral health initial review and any specific concerns or symptoms mentioned by the patient or referring party.
05
Perform a comprehensive assessment of the patient's mental health status, which may involve evaluating their mood, behavior, thoughts, and emotions.
06
Include a detailed history of the patient's mental health, including any past diagnoses, treatments, medications, and hospitalizations.
07
Review the patient's social and familial relationships as they may impact their mental health.
08
Assess the patient's current functional abilities and any limitations or challenges they may be facing.
09
Consider using validated assessment tools or questionnaires to gather objective data about the patient's mental health.
10
Collaborate with other healthcare professionals involved in the patient's care to ensure a comprehensive evaluation.
11
Carefully review and finalize the behavioral health initial review, ensuring all necessary sections are completed and accurate.
12
Obtain any required signatures or authorizations from the patient or legally authorized representative.
13
Store the completed behavioral health initial review securely and ensure it is accessible to relevant healthcare professionals.
14
Periodically review and update the behavioral health initial review as needed, especially as the patient's condition or treatment plan changes.
Who needs behavioral health initial review?
01
Individuals seeking behavioral health services for the first time.
02
Patients referred to behavioral health clinics or specialists.
03
Individuals experiencing mental health or substance abuse issues.
04
People with behavioral or psychological symptoms affecting their day-to-day functioning.
05
Patients transitioning from another healthcare provider or facility.
06
Individuals with a history of mental health disorders requiring ongoing treatment or monitoring.
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What is behavioral health initial review?
Behavioral health initial review is a process where a mental health professional evaluates a patient's mental health status and creates a treatment plan.
Who is required to file behavioral health initial review?
Patients who are seeking mental health treatment are typically required to undergo a behavioral health initial review.
How to fill out behavioral health initial review?
Behavioral health initial review forms are usually filled out by the patient and their mental health provider during a session.
What is the purpose of behavioral health initial review?
The purpose of behavioral health initial review is to assess the patient's mental health status, create a treatment plan, and monitor progress over time.
What information must be reported on behavioral health initial review?
Information such as the patient's medical history, current symptoms, and treatment goals are typically reported on behavioral health initial review forms.
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