MI DHHS DCH-3877 2021 free printable template

READMISSION SCREENING (PAS)/ANNUAL RESIDENT REVIEW (ARR)(Mental Illness/Intellectual Developmental Disability/Related Conditions Identification) Michigan Department of Health and Human Services Level

How to fill out MI DHHS DCH-3877

How to fill out MI DHHS DCH-3877

1. Start by downloading the MI DHHS DCH-3877 form from the Michigan Department of Health and Human Services website.
2. Read the instructions carefully to understand the sections of the form.
3. Fill in the personal information section, including your name, address, and contact information.
4. Provide details about the service or benefit you are applying for in the appropriate section.
5. If applicable, include any required documentation or supporting materials as specified in the instructions.
6. Review the completed form for accuracy and completeness.
7. Sign and date the form at the bottom to certify that the information provided is true.

Who needs MI DHHS DCH-3877?

1. Individuals seeking assistance or services from the Michigan Department of Health and Human Services may need to fill out MI DHHS DCH-3877.
2. Organizations or agencies submitting applications on behalf of clients may also require this form.

People Also Ask about

What is an OBRA screening Michigan?

OBRA Screening Anyone seeking admission to a nursing facility must be screened for indicators of an Intellectual/Developmental Disability or a mental illness, prior to admission. Residents already in a nursing facility must be screened annually and/or for significant changes in their condition.

What is an involuntary mental health commitment in Michigan?

Involuntary Hospitalization: In order for a person to be involuntarily hospitalized, they must meet the Michigan Mental Health Code definition of a "person requiring treatment." A person may be seriously mentally ill and still not fit that definition.

What is the Michigan mental health Code definition of developmental disability?

(25) "Developmental disability" means either of the following: (a) If applied to an individual older than 5 years of age, a severe, chronic condition that meets all of the following requirements: (i) Is attributable to a mental or physical impairment or a combination of mental and physical impairments.

What is mental health Code Section 403 Michigan?

Sec. 403. Individuals shall receive involuntary mental health treatment only pursuant to the provisions of this act.

What is the mental health code in Michigan?

The Mental Health Code requires a person-centered approach to the planning, selection, and delivery of the supports, services, and/or treatment you receive from the public mental health system (community mental health programs, their service providers and licensed psychiatric hospitals.

What do federal regulations mandate a preadmission screening and resident review Pasrr for?

Preadmission Screening and Resident Review (PASRR) is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care.

What is Michigan mental health Code Section 409?

409. (1) Each community mental health services program shall establish 1 or more preadmission screening units with 24-hour availability to provide assessment and screening services for individuals being considered for admission into hospitals or alternative treatment programs.

What is Mdhhs mental health code?

Mental Health Code Section 712 The Mental Health Code requires a person-centered approach to the planning, selection, and delivery of the supports, services, and/or treatment you receive from the public mental health system (community mental health programs, their service providers and licensed psychiatric hospitals.

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What is MI DHHS DCH-3877?

MI DHHS DCH-3877 is a form used by the Michigan Department of Health and Human Services to collect specific information related to health care services and benefits.

Who is required to file MI DHHS DCH-3877?

Individuals or organizations that provide medical assistance or services and wish to receive reimbursement from the Michigan Department of Health and Human Services are required to file MI DHHS DCH-3877.

How to fill out MI DHHS DCH-3877?

To fill out MI DHHS DCH-3877, complete all sections of the form accurately, providing necessary details such as patient information, services provided, and billing information, then submit it as directed by the Michigan Department of Health and Human Services.

What is the purpose of MI DHHS DCH-3877?

The purpose of MI DHHS DCH-3877 is to ensure that the Michigan Department of Health and Human Services has the required information to process claims for medical services and to facilitate proper reimbursement to providers.

What information must be reported on MI DHHS DCH-3877?

The information that must be reported on MI DHHS DCH-3877 includes patient demographics, service codes, dates of service, provider details, and any other relevant billing information required for reimbursement.