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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services JENNIFER KENT DIRECTORATE:EDMUND G. BROWN JR. GOVERNOR December 28, 2017MHSUDS INFORMATION NOTICE NO.: 17059 TO:COUNTY
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Start by gathering all the necessary paperwork and information required to fill out the Mental Health Services Act (MHSA) forms.
02
Read through the instructions carefully to understand each section and the information needed.
03
Begin by providing personal details such as your name, contact information, and demographic information.
04
Fill out the sections related to your mental health condition, including any diagnosis or treatment information.
05
Provide details about any previous mental health services received, including the name of the provider and the dates of service.
06
Fill out the income and insurance information sections, including any relevant documents or proofs.
07
Complete any additional sections or forms that may be required based on your specific situation or eligibility criteria.
08
Review the filled-out forms for accuracy, ensuring that all required fields are completed correctly.
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Make copies of all the filled-out forms and any supporting documents for your records.
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Submit the completed forms along with any required documentation to the appropriate mental health services agency or organization.

Who needs mental health services act?

01
The Mental Health Services Act (MHSA) is designed to benefit individuals who are in need of mental health services and support.
02
This includes individuals who are diagnosed with mental illnesses or disorders, as well as those who may be at risk of developing mental health problems.
03
People who are experiencing psychological distress, emotional difficulties, or behavioral issues can benefit from MHSA.
04
MHSA also supports individuals from underserved communities, including children, youth, older adults, and individuals from culturally diverse backgrounds.
05
In summary, anyone who requires mental health services, support, and resources can benefit from the provisions of the Mental Health Services Act.
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The Mental Health Services Act (MHSA) is a California law that provides funding for mental health services.
County mental health departments are required to file the Mental Health Services Act.
To fill out the Mental Health Services Act, counties must report information on mental health programs and services funded by MHSA.
The purpose of the Mental Health Services Act is to expand and improve mental health services for Californians.
Counties must report on the funding received from MHSA, the programs and services provided, and the outcomes and effectiveness of those services.
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