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BEHAVIORAL HEALTH COORDINATED CARE OPT-OUT FORM You have the right to opt out from sharing your behavioral health information that will occur from behavioral health visits, messages and/or communications
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How to fill out behavioral health coordinated care
How to fill out behavioral health coordinated care
01
Contact a behavioral health provider or your primary care physician to discuss your need for coordinated care.
02
Provide necessary information and consent for sharing information between providers.
03
Attend scheduled appointments and follow treatment plans as recommended.
04
Communicate openly with your care team about any concerns or changes in your symptoms.
05
Be proactive in managing your mental health and overall well-being.
Who needs behavioral health coordinated care?
01
Individuals with complex physical and mental health conditions
02
Individuals with a history of substance abuse or addiction
03
Individuals with chronic health issues that impact their mental health
04
Individuals with a history of trauma or abuse
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What is behavioral health coordinated care?
Behavioral health coordinated care is a comprehensive approach to managing and providing services for individuals with mental health and substance abuse disorders. It involves collaboration between different healthcare providers to ensure that patients receive the support and treatment they need.
Who is required to file behavioral health coordinated care?
Healthcare providers, organizations, and facilities that offer behavioral health services are required to file behavioral health coordinated care.
How to fill out behavioral health coordinated care?
Behavioral health coordinated care can be filled out by documenting the services provided, patient information, treatment plans, and outcomes in a standardized form or electronic health record system.
What is the purpose of behavioral health coordinated care?
The purpose of behavioral health coordinated care is to improve outcomes for individuals with mental health and substance abuse disorders by ensuring that they receive integrated and comprehensive care from a team of healthcare providers.
What information must be reported on behavioral health coordinated care?
Information that must be reported on behavioral health coordinated care includes diagnosis, treatment plans, services provided, medications prescribed, progress notes, and outcomes.
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