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Kentucky Determination Criteria Checklist for Serious Mental Illness (SMI) Relates to KRS 210.005 and 907 KAR 15:060, 15:065, 15:050, and 15:055, and 908 KAR 2:260 Individuals Name Identification.

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This guide provides comprehensive instructions for users on how to fill out the 908 Kar 2 260 form online. It is designed to assist individuals at all levels of experience with legal documentation.

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  1. Click ‘Get Form’ button to obtain the document and access it in your preferred editor.
  2. Begin by entering the individual's name, identification number, and diagnostic code(s) in the designated fields at the top of the form.
  3. Review the criteria outlined in the table, ensuring to check the appropriate boxes under the 'YES' or 'NO' columns. This includes verifying the person's age, mental health diagnosis, and whether they exhibit functional impairments.
  4. In the 'Diagnosis' section, circle any relevant mental health diagnoses as specified in the Diagnostic and Statistical Manual of Mental Disorders. Ensure that the chosen diagnosis aligns with the individual's current condition.
  5. In the 'Disability' section, indicate the domains in which the individual displays clear evidence of functional impairment by circling the applicable areas. Discuss these with relevant professionals if necessary.
  6. In the 'Duration' section, circle at least one of the specified duration conditions that apply to the individual, confirming that they meet the required criteria over the designated time periods.
  7. Complete the final part of the form by having it signed by a qualified, licensed behavioral health professional who conducted the assessment. This section requires their printed name, credentials, signature, and the date.
  8. Once all fields and sections are completed, save your changes. You can also choose to download the form, print it, or share it as needed.

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Case notes must include the name of the client, the date and time of the meeting or visit as well as the location of the meeting. If the encounter with the client occurred via phone, the case note must include whether or not the client was contacted or if the client made contact.

At least five (5) years of full-time employment experience working with an individual with SMI, SED, or SUD and a co-occurring chronic or complex physical health condition; 2. Successful completion of a department approved targeted case management training within six (6) months of employment as a case manager; and 3.

Targeted Case Management (TCM) is a set of services provided to a Target Population that helps our clients gain access to needed medical, clinical, social and educational services to improve the quality of their lives.

908 KAR 2:065. Community transition for individuals with serious mental illness.

Medicaid Mental Health Targeted Case Management services provide case management to adults with a serious mental illness and children with a serious emotional disturbance to assist them in gaining access to needed medical, social, educational, and other services.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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