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Ohio Department of Medicaid OHIO ACCESS SUCCESS PROJECT APPLICATION Phone Applicant Applicant Name (Last, First, Ml) Is the applicant on Medicaid? Gender Male Name of Facility Yes Medicaid Billing.

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Substance Abuse and Mental Health Services Administration (SAMHSA): For general information on mental health and to locate treatment services in your area, call SAMHSA's National Helpline at 1-800-662-HELP (4357).

Call 1-800-720-9616 to connect.

What do I need to do to apply for QMHS? Letter from DHCS, County Authority, or designee agency verifying prior MHRS Qualification. Copy of State I.D. Copy of transcript or proof of high school diploma or equivalent degree (previously primary source verified by your employer).

It's OK if you struggle with mental and emotional health. And it's OK to ask for help. Call the Ohio CareLine at 1-800-720-9616, 24/7 for free, confidential support.

The Mental Health Block Grant provides $22 million for treatment and recovery supports of persons with serious mental illness, as well as service improvement activities. Recovery supports include housing, employment and peer support services.

Director of the Department of Mental Health & Addiction Services. A native of eastern Ohio, Lori Criss has been engaged in the behavioral health field since 1992.

Psychological Testing Info: This service can be provided by a clinical psychologist, psychiatrist, physician, Advanced Practice Nurse, Licensed Counselor or Family Therapist, or a clinic.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232