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Email:NYSUDNotifications@carelon.compact 822 Services 48 HOUR NOTIFICATION
and INITIAL TREATMENT PLAN
Patient Information
Patient Name: ___Provider / Agency Name: ___Date of Birth: ___/___/___Site
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How to fill out part-822-services-48-hour-notification-and-initial-treatment
How to fill out part-822-services-48-hour-notification-and-initial-treatment
01
Obtain the Part-822 services 48-hour notification form from the appropriate agency or provider.
02
Fill out the client's information including name, date of birth, address, and contact information.
03
Specify the type of services needed and any initial treatment that has been provided.
04
Provide any relevant medical history and current medications.
05
Sign and date the form, and submit it to the appropriate agency or provider within 48 hours of initial treatment.
Who needs part-822-services-48-hour-notification-and-initial-treatment?
01
Individuals who have received initial treatment for substance use disorder and are in need of Part-822 services.
02
Providers and agencies who are responsible for coordinating and providing Part-822 services to clients.
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What is part-822-services-48-hour-notification-and-initial-treatment?
Part-822-services-48-hour-notification-and-initial-treatment refers to the requirement for facilities to notify the appropriate authorities within 48 hours of providing initial treatment to individuals receiving services under Part 822 of the regulations.
Who is required to file part-822-services-48-hour-notification-and-initial-treatment?
All facilities providing services under Part 822 are required to file part-822-services-48-hour-notification-and-initial-treatment.
How to fill out part-822-services-48-hour-notification-and-initial-treatment?
Part-822-services-48-hour-notification-and-initial-treatment must be filled out by providing the necessary information about the individual receiving services, the treatment provided, and other required details.
What is the purpose of part-822-services-48-hour-notification-and-initial-treatment?
The purpose of part-822-services-48-hour-notification-and-initial-treatment is to ensure timely reporting of initial treatment provided to individuals under Part 822 for proper monitoring and oversight.
What information must be reported on part-822-services-48-hour-notification-and-initial-treatment?
Information such as the individual's name, date of treatment, type of treatment provided, facility information, and any other details required by the regulations must be reported on part-822-services-48-hour-notification-and-initial-treatment.
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