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Delaware Department of Health and Social Services Division of Substance Abuse and Mental Health Consumer Reporting Form Training Manual Last Updated 9/29/2011 CONSUMER REPORTING FORM TRAINING MANUAL
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What is dsamh mci form?
DSAMH MCI form stands for Division of Substance Abuse and Mental Health, Medicaid Certified Individual form. It is a document used to report information related to Medicaid-certified individuals receiving substance abuse and mental health services.
Who is required to file dsamh mci form?
Providers of substance abuse and mental health services who are certified by Medicaid are required to file the DSAMH MCI form.
How to fill out dsamh mci form?
To fill out the DSAMH MCI form, providers need to enter the required information of Medicaid-certified individuals receiving substance abuse and mental health services. This may include demographic information, details of the services provided, and other relevant data.
What is the purpose of dsamh mci form?
The purpose of the DSAMH MCI form is to gather data and report information on Medicaid-certified individuals receiving substance abuse and mental health services. This form helps in monitoring and managing Medicaid services in the respective field.
What information must be reported on dsamh mci form?
The DSAMH MCI form typically requires reporting of information such as the individual's name, Medicaid identification number, date of birth, contact details, details of the services provided, and any other requested data.
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