Get Cmbhs - Screening - Texas Department Of State Health Services

This guide provides clear and supportive instructions for filling out the CMBHS - Screening form from the Texas Department of State Health Services online. Whether you are familiar with the process or new to it, you will find step-by-step guidance to ensure a smooth experience.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to access the CMBHS - Screening form and open it in the online editor.
2. Enter the client name and CMBHS number in the designated fields.
3. Indicate the eligibility type for the Yes Waiver Clinical Eligibility section. Provide necessary notes if eligibility is terminated.
4. Complete the start and end date fields. Include the dates that are relevant to the client's eligibility.
5. Answer whether the individual has lived in a facility during the last 12 months by selecting 'Yes' or 'No.' If 'Yes,' provide facility details as required.
6. Input the diagnosis details into the Order section, making sure to include the code and descriptor for each applicable line.
7. Fill out the CANS Assessment Criteria, ensuring that you enter domain scores for each relevant section.
8. Complete the additional eligibility criteria. Respond to whether outpatient therapy has been tried and failed, and check the appropriate criteria that apply to the client.
9. Review and sign the signatures section, ensuring that all relevant parties have endorsed the form. Include dates for each signature.
10. Finally, save your changes, and opt to download, print, or share the completed form as needed.

Complete your CMBHS - Screening form online for efficient processing of health services.