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CLEAR FORM THE DEPARTMENT OF MEDICAL ASSISTANCE SERVICES ASSERTIVE COMMUNITY TREATMENT (ACT: H0040)INITIAL Service Authorization Request Form Please be mindful of notes throughout this form providing
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To fill out the Assertive Community Treatment Act form on www.dmas.virginia.gov, follow these steps:
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Visit the DMAS Virginia website at www.dmas.virginia.gov.
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Find the 'Media Library' section on the homepage and click on it.
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Look for the form titled 'Assertive Community Treatment Act' in the media library and click on it.
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If required, submit the filled-out form as per the instructions provided on the DMAS Virginia website.

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The Assertive Community Treatment Act is beneficial for individuals who meet the criteria for assertive community treatment and require intensive mental health services. This includes individuals with severe mental illness, substance abuse issues, and complex needs. The act aims to provide comprehensive and coordinated care to help individuals with mental health challenges live successfully in their communities.
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The www.dmas.virginia.gov/media3472/assertive-community-treatment-act is a piece of legislation that aims to provide intensive community-based support for individuals with severe mental illness.
Healthcare providers and organizations that offer assertive community treatment services are required to file www.dmas.virginia.gov/media3472/assertive-community-treatment-act.
To fill out www.dmas.virginia.gov/media3472/assertive-community-treatment-act, providers must report on the services offered, number of clients served, outcomes achieved, and compliance with regulations.
The purpose of www.dmas.virginia.gov/media3472/assertive-community-treatment-act is to ensure that individuals with severe mental illness receive the necessary support and care in the community.
Information such as services offered, number of clients served, outcomes achieved, and compliance with regulations must be reported on www.dmas.virginia.gov/media3472/assertive-community-treatment-act.
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