OKLAHOMA DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES CLIENT DATA CORE SECTION I Agency No. Satellite No. Time Military CLIENT RACE 1 Yes for all that apply/Blank No White Asian American Indian Native Hawaiian or Other Pacific Islander Transaction Type Contacts 21 25 27 23 40 41 42 60 61 62 63 64 65 66 67 68 69 70 71 72 Service Focus 01-22 Birth Year Client ID SCREENING AND OTHER INFORMATION 1 Pos/ 2 Neg/ 3 Not Admin 1 Yes/ 2 No PRIMA.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the Oklahoma Client Data Core online
The Oklahoma Client Data Core is an essential document for gathering client information in a mental health and substance abuse context. This guide will provide clear, step-by-step instructions for completing the form accurately and efficiently.
Follow the steps to successfully complete the Oklahoma Client Data Core
- Click ‘Get Form’ button to access the Oklahoma Client Data Core and open it in your preferred editor.
- Begin with Section I, starting by entering the agency number and satellite number as required.
- Indicate the time in military format. Next, select applicable options for client race and indicate ethnicity by marking the boxes as necessary.
- For screening information, choose appropriate responses for tobacco use and mental health screening. Additionally, provide details regarding primary and secondary referrals.
- Input the county of residence and zip code, particularly noting to use '99999' for individuals experiencing homelessness.
- Move on to Section II, enter the client's Social Security number, and indicate language proficiency by marking the relevant checkbox.
- In the current residence section, select the type of housing situation that best describes the client’s living conditions.
- Outline the client's employment status, including the type of employment, if any. Also, denote whether the client is currently in school.
- Fill out marital status and pregnancy information, and indicate if the client is currently incarcerated.
- Provide annual income details and verify answering questions regarding Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), along with insurance information.
- In Section III, complete the client's legal status, presenting problem, and other relevant fields related to their clinical history.
- Ensure to fill existing questions on familial information, referrals to community services, and any support system.
- Finally, review all sections of the form to ensure accuracy before saving your changes, downloading, printing, or sharing the completed form.
Complete your documents online for efficient and professional processing.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
Public and private outpatient behavioral health agencies, and private independent licensed...
Services (OKDHS) and the Oklahoma Department of. Mental Health ... OKSOC's core values of...
Jun 30, 2016 — REPORTING PERIOD IDENTIFICATION DATA ELEMENTS. ... applicable to the VR...
Get answers to your most pressing questions about US Legal Forms API.
What does SoonerCare pay for?
Filters BenefitCoverageAmbulance or Emergency TransportationCoveredChild Health Wellness ScreensN/ADental ServicesCoveredDiabetic SuppliesCovered6 more rows • Jan 13, 2023
Does Oklahoma Medicaid cover mental health?
Mental health treatment benefits for those enrolled in Oklahoma Medicaid include inpatient acute care, crisis stabilization and medical detoxification. Children may also receive services in psychiatric hospitals and psychiatric residential treatment facilities (PRTF) as well as residential behavior management services.
Is mental health considered part of healthcare?
The Military Health System has many resources available to help any service member, families, or veteran beneficiaries who are struggling with mental health challenges.
Does SoonerCare cover mental health?
A basic package of primary and preventive behavioral services, such as screenings for depression, anxiety and substance abuse is available to every SoonerCare member without prior authorization for services delivered by a Patient-Centered Medical Homes, Indian/Tribal/Urban (I/T/U) Clinics, and Federally Qualified ...
What kind of coverage is SoonerCare?
SoonerCare is Oklahoma's Medicaid program, and the Oklahoma Health Care Authority (OHCA) is the state agency that administers it. The health care needs of Oklahomans can be many and complex. SoonerCare offers various health benefit packages to accommodate our members in the most fiscally responsible way.
What is the program of assertive community treatment Oklahoma?
The Oklahoma PACT Model The program reaches clients that traditional services can't seem to engage. A major goal of PACT is to reduce the need for inpatient care by providing assistance with basic needs, increasing medication compliance, keeping families together, and securing competitive employment.
Does SoonerCare pay for surgeries?
Payment is made to physicians for medical and surgical services for members under the age of twenty-one (21) within the scope of the SoonerCare program, provided the services are medically necessary for the diagnosis and treatment of illness or injury, or to improve the functioning of a malformed body member.
What benefits does SoonerCare provide?
Possible covered services Ambulance. Ambulatory Surgery Center services. Behavioral health and substance abuse services (outpatient) Case management services. Chemotherapy and radiation therapy. Child Health. Clinic services including renal dialysis services. Dental services (limited for adults)
How do I get free mental help in Oklahoma?
Contact us anytime Monday-Friday from 8:30 a.m. – 5 p.m. at (918) 585-1213, (405) 943-3700 or using the form below. * For emergencies, dial or text 988 for the national suicide and crisis lifeline.
Does SoonerCare pay for everything?
SoonerCare (Oklahoma Medicaid) covers many health care services. However, there are limitations that apply to ensure only medically necessary services are provided. Some services are for children only. The benefits and coverage outlined may change.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.