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PRINTFRIENDLY VERSIONFACT SHEET
BEHAVIORAL HEALTH INTEGRATION SERVICES
TARGET AUDIENCE
Medicare FeeForService Program
(also known as Original Medicare)Integrating behavioral health care with primary
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How to fill out behavioral health integration services

How to fill out behavioral health integration services
01
Start by gathering all the necessary intake forms and service agreements from the behavioral health integration services provider.
02
Read through the forms carefully to understand the information required and any specific instructions provided.
03
Fill out personal information such as name, date of birth, address, and contact details accurately.
04
Provide information about your current behavioral health condition, including any symptoms, diagnosis or treatment history.
05
Provide details about any medications or therapies you are currently undergoing for your behavioral health condition.
06
Answer any additional questions about your medical history, allergies, and any other relevant health information.
07
Review the completed forms to ensure all fields are filled out correctly and no information is missing.
08
Sign and date the forms where required, indicating your consent for the behavioral health integration services.
09
Submit the completed forms to the behavioral health integration services provider, either in person or through a secure online portal.
10
Keep a copy of the filled out forms for your records in case they are needed in the future.
Who needs behavioral health integration services?
01
Behavioral health integration services are designed for individuals who require comprehensive care for mental health and substance abuse issues.
02
People who have been diagnosed with mental disorders such as depression, anxiety, bipolar disorder, or schizophrenia can benefit from these services.
03
Individuals struggling with addiction or substance abuse problems can also benefit from behavioral health integration services.
04
People who have experienced traumatic events or have a history of trauma may also need these services to address their mental health needs.
05
Additionally, individuals who have complex medical conditions that require coordinated care between medical and behavioral health providers may benefit from these services.
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What is behavioral health integration services?
Behavioral health integration services refer to the coordination of mental health and substance use disorder services with primary care and other health services in order to provide whole-person care.
Who is required to file behavioral health integration services?
Healthcare providers, organizations, or facilities that offer behavioral health services and integrate them with primary care are required to file for behavioral health integration services.
How to fill out behavioral health integration services?
To fill out behavioral health integration services, providers must report on the integration of mental health and substance use disorder services with primary care, including details on coordination efforts and outcomes.
What is the purpose of behavioral health integration services?
The purpose of behavioral health integration services is to ensure that individuals receiving care for mental health and substance use disorders also have access to primary care services, leading to improved overall health outcomes.
What information must be reported on behavioral health integration services?
Providers must report on the types of behavioral health services offered, the extent of integration with primary care, coordination efforts, patient outcomes, and any challenges faced in the integration process.
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