Get Child (ages 6-11) - Ncdhhs
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How to fill out the Child (Ages 6-11) - Ncdhhs online
Completing the Child (Ages 6-11) - Ncdhhs form is a crucial step in providing necessary services and supports for your child. This guide will help you navigate each section of the form clearly and effectively, ensuring that you provide all required information.
Follow the steps to complete the form accurately.
- Press the ‘Get Form’ button to access and open the form in your editing tool.
- Read the initial instructions carefully, which indicate that this form is for data entry into a web-based system and should not be mailed. Confirm that you are ready to provide the necessary information.
- Fill out the QP (Qualified Professional) section, certifying that you have conducted the interview. Include the date and your signature.
- In the consumer information section, enter the assigned LME-MCO consumer record number and any optional Medicaid ID number.
- Answer questions about the child's current school enrollment status. If applicable, specify the programs the child is enrolled in for credit.
- For K-12 respondents, complete the additional fields regarding the Medicaid county of residence and local area code.
- Provide the child's personal details including first three letters of last name, first initial of first name, date of birth, and gender.
- Indicate the appropriate age/disability category for which the individual will receive services. Select 'Child Mental Health, age 6-11'.
- Identify all services the consumer is currently receiving as outlined in Attachment I.
- Indicate the DSM-IV TR diagnostic classifications applicable to the individual using the codes provided in Attachment II.
- Respond to questions regarding the child’s health insurance and school performance, marking all that apply.
- Complete questions related to the child's recent behavioral history, including any incidents of suspension or expulsion.
- Describe the child’s living situation over the past three months, including whether they were homeless or in a residential program.
- Finally, provide comments on the child’s mental health and report any important areas where the child needs help, marking all that are applicable.
- Once all sections are filled out, review the form for any errors. Save your changes, and you may also choose to download, print, or share the completed form as needed.
Start filling out the Child (Ages 6-11) - Ncdhhs form online today to ensure the best support for your child.
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