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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYDepartment of Health Care ServicesDHCS 1822 A (02/19)Annual Mental Health Services Act (MESA) Revenue and Expenditure Report Fiscal Year: 19/20
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To fill out mhsoaccagovsitesdefaultannual mental health services form, follow these steps:
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Start by downloading the form from the website mhsoa.ca.gov.
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Read the instructions carefully to understand the requirements and information needed.
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Fill in your personal information, such as name, address, contact details, and date of birth.
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Provide information about your current mental health condition, including any diagnoses or medications you are taking.
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Answer the questions regarding your previous mental health services received, if any.
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Provide details about your insurance coverage, if applicable.
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Review the completed form for accuracy and make any necessary corrections.
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Submit the filled-out form by uploading it on the mhsoa.ca.gov website or mailing it to the designated address.
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Keep a copy of the form for your records.
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If you have any questions or need assistance, contact the mental health services office.

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Annual mental health services report is a document that details the mental health services provided by an organization throughout the year.
Any organization or entity that offers mental health services is required to file the annual mental health services report.
The report can be filled out online or through a paper form provided by the governing body overseeing mental health services in the respective area.
The purpose of the report is to track and monitor the mental health services provided to individuals and communities, assess the effectiveness of the services, and identify areas for improvement.
Information such as the types of mental health services offered, number of individuals served, outcomes of the services, and any challenges or successes experienced in providing mental health services.
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