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Managing Mental Health, Intellectual/Developmental Disabilities and Substance Abuse Services 9106739111 (FAX) 9106736202 www.sandhillscenter.org Victoria White, Uniform Credentialing Application to
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Who needs medicaidncdhhsgovprovidersformsmental health developmental disabilities?
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Individuals who require mental health or developmental disability services in the state of North Carolina may need to fill out the Medicaid NCDHHSGov Providers Forms for Mental Health Developmental Disabilities. This includes eligible individuals who are seeking financial assistance or access to specialized care and support services for their mental health or developmental disabilities.
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What is medicaidncdhhsgovprovidersformsmental health developmental disabilities?
Medicaidncdhhsgovprovidersformsmental health developmental disabilities is a form used by providers to report mental health and developmental disabilities services provided to Medicaid beneficiaries.
Who is required to file medicaidncdhhsgovprovidersformsmental health developmental disabilities?
Providers who offer mental health and developmental disabilities services to Medicaid beneficiaries are required to file this form.
How to fill out medicaidncdhhsgovprovidersformsmental health developmental disabilities?
Providers need to accurately report the services provided, including the types of treatment, dates of service, and patient information.
What is the purpose of medicaidncdhhsgovprovidersformsmental health developmental disabilities?
The purpose of this form is to track the services provided to Medicaid beneficiaries for mental health and developmental disabilities, ensuring proper reimbursement and quality of care.
What information must be reported on medicaidncdhhsgovprovidersformsmental health developmental disabilities?
Providers must report details of the services provided, such as diagnosis, treatment plan, duration of service, and patient demographics.
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