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MANUAL HHSC UNIFORM MANAGED CARE MANUAL CHAPTER TITLE15.21 of 3EFFECTIVE Detrimental Health Targeted Case Management and Mental Health Rehabilitative Services Request Form March 1, 2015, Version 2.3DOCUMENT
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The mh-targeted-cm-and-mh-rehab-services-request-formdoc is a document used to request targeted case management and mental health rehabilitation services for individuals in need of mental health support.
Individuals or organizations that seek to provide or receive targeted case management and mental health rehabilitation services are required to file the mh-targeted-cm-and-mh-rehab-services-request-formdoc.
To fill out the mh-targeted-cm-and-mh-rehab-services-request-formdoc, provide accurate personal and service-related information, including demographic details, service needs, and any relevant medical history.
The purpose of the mh-targeted-cm-and-mh-rehab-services-request-formdoc is to facilitate the provision of necessary mental health services and ensure that the needs of individuals are adequately met.
The form must include personal information, details about the individual’s mental health condition, requested services, and any pertinent medical history or previous treatment information.
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