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Behavioral Health & Substance Use Disorder Contract Request Form With this request form please also include: 1. W9 Tax document for the group. 2. Uniform Practitioner Change form for each practitioner
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How to fill out get medi-cal behavioral health
How to fill out get medi-cal behavioral health
01
Contact your local department of social services or visit their website to find the application for Medi-Cal Behavioral Health.
02
Fill out the application completely and accurately with detailed information about your mental health history and current needs.
03
Submit the application online, by mail, or in person to the designated office.
04
Wait for the application to be processed and for a determination to be made about your eligibility for Medi-Cal Behavioral Health services.
Who needs get medi-cal behavioral health?
01
Individuals who are experiencing mental health issues and do not have insurance coverage for behavioral health services.
02
Individuals who meet the income and eligibility requirements for Medi-Cal Behavioral Health services.
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What is get medi-cal behavioral health?
Getting Medi-Cal for behavioral health is a program that provides mental health and substance use disorder services for eligible individuals in California.
Who is required to file get medi-cal behavioral health?
Individuals who meet the eligibility requirements for Medi-Cal and need mental health or substance use disorder services are required to file for get Medi-Cal behavioral health.
How to fill out get medi-cal behavioral health?
To apply for get Medi-Cal behavioral health, individuals can contact their local county behavioral health department or apply online through the Covered California website.
What is the purpose of get medi-cal behavioral health?
The purpose of get Medi-Cal behavioral health is to provide mental health and substance use disorder services to eligible individuals in California.
What information must be reported on get medi-cal behavioral health?
Individuals must report their personal information, income, household size, and the type of mental health or substance use disorder services they need on the get Medi-Cal behavioral health application.
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