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Behavioral Health Care Management Extension Mental Health Treatment Request2650 Novation Parkway Madison, WI 53713 (800) 6832300Please write clearly and legibly complete all sections. See accompanying
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How to fill out behavioral health care management

01
Gather all necessary paperwork and information such as insurance information, medical history, and current medications.
02
Schedule an appointment with a behavioral health care provider.
03
Arrive for the appointment on time and be prepared to discuss your concerns and goals.
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Be open and honest during the assessment process to ensure an accurate treatment plan is developed.
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Follow the recommendations and treatment plan provided by the behavioral health care provider.

Who needs behavioral health care management?

01
Individuals experiencing mental health challenges such as anxiety, depression, bipolar disorder, or schizophrenia.
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Individuals struggling with substance abuse or addiction.
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Individuals with behavioral issues that are impacting their daily functioning and relationships.
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Individuals dealing with trauma or grief that is affecting their emotional well-being.
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Behavioral health care management involves the coordination and oversight of services for individuals with behavioral health conditions to ensure they receive appropriate care and support.
Healthcare providers, facilities, and organizations involved in the delivery of behavioral health services are required to file behavioral health care management.
Behavioral health care management forms can typically be filled out electronically through an online portal or submitted via mail with all required information included.
The purpose of behavioral health care management is to ensure that individuals with behavioral health conditions receive quality care, support, and access to necessary services to improve their overall well-being.
Information that must be reported on behavioral health care management forms may include patient demographics, diagnosis, treatment plans, medications prescribed, and outcomes of care.
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