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Care Management Referral Form
Welles Health Plan offers a variety of care management programs to members with complex medical or behavioral
health conditions, or other barriers to health. Please complete
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How to fill out behavioral health care management
How to fill out behavioral health care management
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Gather all necessary forms and documents for the behavioral health care management process.
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Provide any additional supporting documentation as needed.
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Submit the completed forms and documentation to the appropriate healthcare provider or insurance company.
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Follow up as needed to ensure the process is completed in a timely manner.
Who needs behavioral health care management?
01
Individuals experiencing mental health or substance abuse issues.
02
Patients with chronic or complex medical conditions that require coordination of care.
03
Individuals in crisis situations who require immediate intervention and support.
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What is behavioral health care management?
Behavioral health care management involves overseeing and coordinating the treatment of individuals with mental health or substance abuse issues to ensure they receive appropriate care and support.
Who is required to file behavioral health care management?
Health care providers, facilities, or organizations that offer behavioral health services are typically required to file behavioral health care management reports.
How to fill out behavioral health care management?
Behavioral health care management reports can be filled out electronically or using paper forms provided by the relevant regulatory agency. Information about patient treatments, outcomes, and services provided must be accurately documented.
What is the purpose of behavioral health care management?
The purpose of behavioral health care management is to ensure that individuals with mental health or substance abuse issues receive comprehensive and coordinated care, leading to improved outcomes and overall well-being.
What information must be reported on behavioral health care management?
Information such as patient demographics, diagnoses, treatments received, medications prescribed, outcomes, and follow-up care must be reported on behavioral health care management forms.
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