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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: 20202021
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To fill out the Mental Health Services Act, follow these steps:
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Obtain a copy of the Mental Health Services Act form.
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Read the instructions carefully to understand the requirements.
04
Fill in your personal information, such as your name, address, and contact details.
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Provide relevant details about your mental health condition, including any diagnoses or treatment you have received.
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Specify the type of mental health services you are seeking or in need of.
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If applicable, provide information about your insurance coverage or any financial assistance you may require.
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Review your completed form for accuracy and completeness.
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Sign and date the form.
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Submit the form to the appropriate mental health services provider or agency as instructed.
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Keep a copy of the filled-out form for your records.

Who needs mental health services act?

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The Mental Health Services Act is designed to benefit individuals who require mental health services and support. This can include:
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- Individuals with diagnosed mental health disorders or illnesses
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- People experiencing emotional distress or psychological difficulties
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- Individuals seeking therapy or counseling
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- Families and loved ones of those affected by mental health issues
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- Homeless individuals with mental health needs
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The act aims to provide access to quality mental health care and resources for those who need it most.
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The Mental Health Services Act (MHSA) is a California law that was passed in 2004 to provide funding for mental health services and programs.
County behavioral health departments in California are required to file the Mental Health Services Act (MHSA) plan and reports.
To fill out the Mental Health Services Act (MHSA) plan, counties must detail their proposed mental health programs and expenditures in alignment with the MHSA requirements.
The purpose of the Mental Health Services Act (MHSA) is to fund mental health programs and services that help individuals struggling with mental illness.
Counties must report on their MHSA expenditures, programs, and outcomes to ensure transparency and accountability.
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