Get Amerigroup Louisiana Inc Nonlicensed Provider Letter Of

This guide provides a comprehensive overview of filling out the Amerigroup Louisiana Inc Nonlicensed Provider Letter Of. As you navigate the form, you will find clear instructions to ensure a smooth completion process.

Follow the steps to correctly complete the Nonlicensed Provider Letter Of.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Review the training modules. Confirm that you have completed all seven standardized trainings for nonlicensed providers as outlined on the Amerigroup website. These trainings include co-occurring disorders, crisis intervention, cultural and linguistic competency, serious mental illness and emotional behavioral disorders, suicide and homicide precautions, system of care overview, and treatment planning.
3. In the designated fields, enter the current date when completing the form.
4. Provide your name along with any relevant credentials in the appropriate section.
5. Fill in the name of the affiliated licensed provider or facility with which you are associated.
6. Sign the form in the space provided to attest that you have completed the required trainings.
7. After completing the form, you can save your changes, download a copy, print it for your records, or share it as needed.

Complete your Nonlicensed Provider Letter Of online and ensure compliance with Amerigroup training requirements.