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COUNTY OF SISKIYOU CONTRACT FOR SERVICES This Contract made this ___ day of ___, 2017 between: COUNTY:Siskiyou County Health and Human Services Agency Behavioral Health Division 2060 Campus Drive

How to fill out drug medi-cal organized delivery

How to fill out drug medi-cal organized delivery

1. To fill out Drug Medi-Cal Organized Delivery form, follow these steps:
2. Obtain the Drug Medi-Cal Organized Delivery form from your healthcare provider or the California Department of Health Care Services website.
3. Provide your personal information, such as your full name, address, contact number, and date of birth.
4. Fill out the necessary sections related to medical history, current medications, and any previous drug treatment you have received.
5. Provide details of your healthcare provider, including their name, address, and contact information.
6. Review the completed form for accuracy and make any necessary corrections.
7. Sign and date the form to acknowledge your consent and understanding of the information provided.
8. Submit the form to your healthcare provider or the designated authority as instructed.
9. Keep a copy of the completed form for your records.

Who needs drug medi-cal organized delivery?

1. Drug Medi-Cal Organized Delivery is intended for individuals who meet the following criteria:
2. - California residents
3. - Adults aged 18 and above
4. - Individuals with substance abuse issues who require comprehensive drug treatment services
5. - Individuals who are eligible for Medi-Cal, the state's Medicaid program
6. It is important to consult with your healthcare provider or the California Department of Health Care Services to determine if you meet the eligibility criteria and would benefit from Drug Medi-Cal Organized Delivery.

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What is drug medi-cal organized delivery?

Drug Medi-Cal Organized Delivery refers to a managed care program that provides drug treatment services under the Medi-Cal program in California, aiming to improve access and quality of care for individuals with substance use disorders.

Who is required to file drug medi-cal organized delivery?

Entities that provide substance use disorder treatment services and wish to receive reimbursement for these services under the Medi-Cal program are required to file for Drug Medi-Cal Organized Delivery.

How to fill out drug medi-cal organized delivery?

To fill out the Drug Medi-Cal Organized Delivery, providers must complete specific forms and documentation required by the California Department of Health Care Services, including service and billing information that complies with Medi-Cal guidelines.

What is the purpose of drug medi-cal organized delivery?

The purpose of Drug Medi-Cal Organized Delivery is to enhance the coordination of drug treatment services, ensure comprehensive care for individuals struggling with substance use disorders, and improve overall health outcomes.

What information must be reported on drug medi-cal organized delivery?

Providers must report patient demographics, treatment services provided, service dates, billing information, and any outcomes or follow-up care as required by the program guidelines.