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WISEMAN Case Management Form Agency Name Last NameMBCIS ID First NameMiddle InitialBirth Treason for Case Management: Alert Blood Pressure Alert Glucose Participant Status: Alert Value Case Management
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The MBCIS ID is a unique identifier assigned to entities required to report information related to Managed Behavioral Care Information System.
Entities that provide managed behavioral health services or participate in state-funded behavioral health programs are required to file an MBCIS ID.
To fill out the MBCIS ID form, follow the guidelines provided on the official submission portal, ensuring all required information is accurately inputted and formatted.
The purpose of the MBCIS ID is to track managed care organizations and ensure compliance with state requirements for behavioral health services.
Information reported on the MBCIS ID includes entity name, contact information, services provided, and details on the billing and reporting practices.
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