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REIMBURSEMENT POLICY Psychotherapy Institutional Services Active ___ Policy Number: Behavioral Health 013 Policy Title: Psychotherapy Institutional Services Section: Behavioral Health Effective Date:

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How to fill out bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs

01

Start by ensuring you have all the necessary information and documentation required for filling out BHIN-21-073 criteria for beneficiary to specialty - DHCS.

02

Carefully read the instructions provided on the form to understand the specific criteria that need to be met.

03

Begin by filling out the personal details section of the form, including the beneficiary's name, address, and other relevant information.

04

Proceed to provide detailed information about the beneficiary's medical condition and the specialty service required.

05

Be thorough and accurate in filling out all sections of the form to avoid any delays or misunderstandings.

06

Once the form is completed, review it carefully to ensure all information provided is accurate and complete.

07

Submit the form according to the specified instructions, making sure to include any additional documentation required.

Who needs bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs?

01

Those beneficiaries who require specialty services through DHCS are the ones who need BHIN-21-073 criteria for beneficiary to specialty - DHCS.

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What is bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs?

This form outlines the criteria for beneficiaries to receive specialty services through DHCS.

Who is required to file bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs?

Health care providers and facilities are required to file this form for eligible beneficiaries.

How to fill out bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs?

The form can be filled out online or manually by providing required information about the beneficiary and the specialty services needed.

What is the purpose of bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs?

The purpose is to determine the eligibility of beneficiaries for specialty services provided by DHCS.

What information must be reported on bhin-21-073-criteria-for-beneficiary-to-specialty - dhcs?

Information such as beneficiary's medical history, diagnosis, and justification for the specialty services must be reported.

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