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INDIANA PARR PROGRAM
SUMMARY OF PRELIMINARY FINDINGS AND RECOMMENDATIONS
OF PARR / MI LEVEL II MENTAL HEALTH ASSESSMENT
State Form 47183 (R3 / 100) / BASIS 0030This form shall become a CONFIDENTIAL
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How to fill out indiana pasrr program
How to fill out indiana pasrr program
01
Here are the steps to fill out Indiana PASRR program:
02
Obtain the Indiana PASRR program form from the designated authority or website.
03
Read the instructions and requirements carefully to ensure eligibility.
04
Fill out the personal information section, including name, address, contact details, and any required identification details.
05
Provide a detailed medical history of the individual requiring PASRR services.
06
Indicate the type of services needed and any specific requirements.
07
Attach any supporting documents, such as medical reports or assessments.
08
Double-check the completed form for accuracy and completeness.
09
Submit the filled-out form to the appropriate authority or online portal as instructed.
10
Await confirmation of receipt and further instructions.
Who needs indiana pasrr program?
01
The Indiana PASRR program is needed by individuals who meet the following criteria:
02
- Individuals residing in Indiana
03
- Individuals with intellectual or developmental disabilities
04
- Individuals with a history of mental illness or substance abuse
05
- Individuals who may require Medicaid-funded nursing facility placement
06
- Individuals seeking assistance with long-term care or support services for their unique needs
07
- Individuals requiring a comprehensive evaluation to determine appropriate levels of care
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