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Harris County Medical Society
Behavioral Health Plan Contact GridHealth Plan
Program/SrvcsInfo current as of:Enable Cross
and Blue Shield
of TexasCignaHumanaUnited Healthcare1/16/20152/5/20151/16/20152/6/20152/9/2015Aetna
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How to fill out behavioral health plan contact

How to fill out behavioral health plan contact
01
First, gather all necessary information about the patient, including their personal details, such as name, date of birth, and contact information.
02
Next, review the behavioral health plan template or form provided by your organization or healthcare provider.
03
Follow the instructions on the form and fill in the required information. This may include demographic details, current diagnosis, treatment goals, and any specific interventions or actions to be taken.
04
Use clear and concise language when describing the patient's behavioral health issues, symptoms, and any relevant medical history.
05
Include any supporting documentation, such as medical reports or assessment results, if required.
06
Ensure that all sections of the behavioral health plan contact are completed accurately and thoroughly.
07
Review the filled-out form for any errors or missing information before submitting it.
08
Once reviewed and finalized, sign and date the behavioral health plan contact as the responsible party, if applicable.
09
Submit the completed form according to the specified instructions, which may involve mailing, faxing, or submitting it electronically.
10
Keep a copy of the filled-out behavioral health plan contact for your records.
Who needs behavioral health plan contact?
01
Individuals who require or are undergoing behavioral health treatment or therapy.
02
Patients diagnosed with various mental health conditions, including but not limited to anxiety disorders, depression, bipolar disorder, schizophrenia, substance use disorders, etc.
03
Individuals seeking behavioral health services, such as counseling, psychotherapy, psychiatric medication management, etc.
04
Healthcare professionals responsible for coordinating or providing behavioral health care to patients.
05
Parents or legal guardians of minors who require behavioral health treatment.
06
Healthcare organizations or facilities that offer behavioral health services and require the completion of a behavioral health plan contact for patient management and care coordination.
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What is behavioral health plan contact?
Behavioral health plan contact is a document that outlines the details of an individual's behavioral health plan, including treatment goals, interventions, and provider information.
Who is required to file behavioral health plan contact?
Healthcare providers and insurance companies are required to file behavioral health plan contact.
How to fill out behavioral health plan contact?
To fill out a behavioral health plan contact, providers must include information about the individual's diagnosis, treatment plan, and progress notes.
What is the purpose of behavioral health plan contact?
The purpose of behavioral health plan contact is to ensure that individuals receiving behavioral health services are receiving appropriate and effective treatment.
What information must be reported on behavioral health plan contact?
Information that must be reported on a behavioral health plan contact includes the individual's diagnosis, treatment goals, interventions, and provider information.
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