MI BHS-EMS-0092 2005 free printable template
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MICHIGAN DEPARTMENT OF COMMUNITY HEALTH EMS & TRAUMA SYSTEMS SECTION 201 TOWNSEND ST. LANSING MI 48913 (517) 241-3026 CERTIFICATE OF INSURANCE/COVERAGE FOR LIFE SUPPORT AGENCIES (Authority: Act 368
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Who needs MI BHS-EMS-0092?
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What is MI BHS-EMS-0092?
MI BHS-EMS-0092 is a form required for reporting specific mental health and substance use services provided in Michigan.
Who is required to file MI BHS-EMS-0092?
Providers of mental health and substance use services in the state of Michigan are required to file MI BHS-EMS-0092.
How to fill out MI BHS-EMS-0092?
To fill out MI BHS-EMS-0092, follow the instructions provided with the form, ensuring all required fields are completed accurately, and submit it as directed.
What is the purpose of MI BHS-EMS-0092?
The purpose of MI BHS-EMS-0092 is to collect data on the delivery of mental health and substance use services for tracking and funding purposes.
What information must be reported on MI BHS-EMS-0092?
The form must report information such as service type, provider details, client demographics, treatment outcomes, and any relevant billing information.
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