Get the free Memo Regarding Adult BH HCBS Provider Designation Expansion
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To:Adult Behavioral Health Home and Community Based Services (BH HUBS) Designated
Providers, Medicaid Managed Care Organizations (macOS)
From: NYS Office of Mental Health (OH) and Office of Addiction
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How to fill out memo regarding adult bh
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01
To fill out a memo regarding adult behavioral health, follow these steps:
02
Start by providing the patient's full name, date of birth, and contact details.
03
Specify the date and time of the behavioral health incident or issue.
04
Describe the nature of the behavior or symptoms observed in detail.
05
Include any relevant medical history or previous treatments, if known.
06
Indicate if there are any immediate safety concerns or risks involved.
07
Mention the names of any witnesses or individuals present during the incident.
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Note down any actions taken or interventions initiated to manage the situation.
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Add any additional comments or observations that you deem important.
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Sign and date the memo to validate its authenticity.
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Remember to maintain confidentiality and accuracy while filling out the memo.
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The memo regarding adult behavioral health is typically needed by:
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Anyone involved in the assessment, diagnosis, or treatment of adult behavioral health issues may require this memo.
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