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Magellan Behavioral Health of Pennsylvania Inc.
Family Based Services Discharge Form
Instructions: This form is used to communicate to Magellan when a member is being discharged from Family Based
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How to fill out family based services discharge

How to fill out family based services discharge
01
Start by gathering all necessary documents and information related to the discharge.
02
Review the discharge form and ensure that you understand all the sections and requirements.
03
Fill out the personal information section accurately, including your name, address, and contact information.
04
Provide information about the family member or individual who received the services, including their name, date of birth, and relationship to you.
05
Fill out the sections related to the services received, including the type of services, dates of service, and any additional information required.
06
Review the form again to check for any errors or missing information.
07
Sign and date the discharge form.
08
Submit the completed discharge form to the appropriate agency or service provider.
Who needs family based services discharge?
01
Family based services discharge is typically needed by individuals or families who have received family-based services and are now discontinuing or transitioning from those services.
02
This may include individuals who have completed a specific program, individuals who no longer require the services provided, or individuals who have chosen to seek alternative support options.
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What is family based services discharge?
Family based services discharge refers to the formal process of concluding family-based services provided to a family, indicating that the necessary support and interventions have been completed.
Who is required to file family based services discharge?
The agency or service provider that administered the family based services is typically required to file the discharge.
How to fill out family based services discharge?
To fill out the family based services discharge, one must provide details of the services rendered, outcomes achieved, and any follow-up recommendations, ensuring all sections are accurately completed.
What is the purpose of family based services discharge?
The purpose of the family based services discharge is to document the completion of services, assess the effectiveness of interventions, and facilitate any necessary follow-up.
What information must be reported on family based services discharge?
The discharge must report the type of services provided, duration, family progress, goals met, and any follow-up plans or referrals.
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