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Keystone Learning Services ASD Core Team Referral (Autism Screening, Evaluation, and Intervention) Student Name: Date of Referral: School: DOB: School Contact: Phone: Parent/Caregiver Name: 1. Check
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Who needs behavioral health network provider?

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Behavioral health network providers are needed by individuals seeking mental health or substance abuse treatment.
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A behavioral health network provider is an organization or individual that provides services related to mental health, substance use disorders, and other behavioral health issues, usually as part of a larger network that contracts with insurance companies or healthcare systems.
Health insurance companies, managed care organizations, and other entities that maintain a network of behavioral health providers are typically required to file as behavioral health network providers.
To fill out a behavioral health network provider submission, gather all relevant information about the services offered, provider qualifications, contract details, and any specific agency or regulatory requirements, then complete the application form as directed.
The purpose of a behavioral health network provider is to ensure access to necessary mental health and substance use treatment services, facilitate coordination of care, and improve the quality of care within a community or health system.
Information that must be reported includes provider credentials, services offered, any relevant insurance contracts, patient volume data, and compliance with state and federal regulations related to behavioral health.
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